Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Johnson, MD, a Professional Corporation

Organization Pediatric Adolescent Medicine Physician · NPI 1710360094

Jennifer Johnson, MD, a Professional Corporation is a Pediatric Adolescent Medicine Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

366 San Miguel Dr Ste 209
Newport Beach, CA 92660-7810
Phone: (949) 856-2701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence A40753 (CA)

Record details

NPI number1710360094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Johnson — Ceo · (949) 856-2701
NPI enumeratedJuly 3, 2015
Last updated in NPPESJuly 3, 2015
Mailing address366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810