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

Jared Joshua Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902428238

Jared Joshua Johnson is an Oral Surgery in Downey, California. Graduated from Univ of Calif, Los Angeles School of Dentistry in 2020, 6 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
6
Trained at
Univ of Calif, Los Angeles School of Dentistry
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

10601 Paramount Blvd
Downey, CA 90241-3303
Phone: (562) 923-7257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 W Carson St, Torrance, CA 90502-2059 — (424) 306-4040

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 105919 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902428238
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address2254 N 4th Ave, Upland, CA 91784-8400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolUNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Downey