Provider Demographics
NPI:1790875466
Name:JONES & JONES MEDICAL ASSOCIATES INC.
Entity Type:Organization
Organization Name:JONES & JONES MEDICAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:760-946-2112
Mailing Address - Street 1:18660 US HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2316
Mailing Address - Country:US
Mailing Address - Phone:760-946-2112
Mailing Address - Fax:760-946-2113
Practice Address - Street 1:18660 US HIGHWAY 18
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2316
Practice Address - Country:US
Practice Address - Phone:760-946-2112
Practice Address - Fax:760-946-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421 4809 8207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF41470Medicare UPIN
CA020A58310Medicare PIN
CAZZZ18540ZMedicare PIN