Provider Demographics
NPI:1205806163
Name:JONES, FRANKLYN C (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANKLYN
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:MCLEAN
Other - Middle Name:JONES
Other - Last Name:PODIATRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:PO BOX 27195
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-7195
Mailing Address - Country:US
Mailing Address - Phone:559-438-0283
Mailing Address - Fax:559-438-9201
Practice Address - Street 1:6335 N FRESNO ST STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5272
Practice Address - Country:US
Practice Address - Phone:559-438-0283
Practice Address - Fax:559-438-9201
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-24
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3875213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ45038ZOtherBLUE SHIELD PROVIDER #
CA000E38750OtherBLUE CROSS PROVIDER NUMBER
CAGRE001120Medicaid
CA000E38750OtherPRIVATE INSURANCE
ND5725140001OtherNORIDIAN ADMIN. SERVICES
ND5725140001OtherNORIDIAN ADMIN. SERVICES
CAU42459Medicare UPIN