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

Jeffrey M Johnsrud, MD

Individual provider Specialist · NPI 1366516197

Jeffrey M Johnsrud, MD is a Specialist in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1140 W La Veta Ave #760
Orange, CA 92868-4223
Phone: (714) 541-4442
Fax: (714) 835-9550
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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G51096 (CA)

Record details

NPI number1366516197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESOctober 27, 2011
Mailing address1140 W La Veta Ave, 760, Orange, CA 92868-4223

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