Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366516197 Individual Practitioner Male Practitioner

Dr. Jeffrey M Johnsrud , MD

Specialist • Orange, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Johnsrud, MD is a registered healthcare professional specializing in Specialist in Orange, CA. Practice services are available at 1140 W LA VETA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1140 W La Veta Ave
#760

Orange, CA 928684223

Telephone 7145414442
Fax 7148359550
Associated Practice Facility / Clinic
🏢 Entrust Medical Corporation Facility NPI 1922090372

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Orange, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.1 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
58 Specialists

Practicing in Orange, CA (6446 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G51096

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1124055041

Doctor of Medicine (M.D.)

NPI 1356583033

Doctor of Medicine (M.D.)

NPI 1457425282

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2011

Registered at 1140 W LA VETA AVE, #760, ORANGE, CA 928684223 (Tel: 7145414442)

📍
Updated Business Mailing Address October 27, 2011

Registered at 1140 W LA VETA AVE, #760, ORANGE, CA 928684223 (Tel: 7145414442)

👤
Provider Name / Credentials Updated October 27, 2011

Recorded as JEFFREY JOHNSRUD, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2011

Specialist (License #G51096 in CA)

🟢
Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366516197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2006
Last Update: October 27, 2011
Sole Proprietor: Yes

Mailing Address

1140 W La Veta Ave, #760

Orange, CA 928684223

Phone: 7145414442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.