Jeffrey M. Johnsrud, A Medical Corporation
NPI 1215238522ActiveOrganization· Specialist· Orange, CA
Specialist in Orange, California, registered in NPPES in November 2010. The authorized official on file is Patricia Fuentes, Credentialing.
Overview
| NPI | 1215238522 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 3, 2010 |
| Last updated in NPPES | Mar 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | G51096 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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