Provider Demographics
NPI:1780659813
Name:FOLAND, JAIME ARTURO (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ARTURO
Last Name:FOLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20369 STARR KING DR
Mailing Address - Street 2:
Mailing Address - City:SOULSBYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95372-9603
Mailing Address - Country:US
Mailing Address - Phone:209-694-6104
Mailing Address - Fax:
Practice Address - Street 1:20369 STARR KING DR
Practice Address - Street 2:
Practice Address - City:SOULSBYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95372-9603
Practice Address - Country:US
Practice Address - Phone:209-694-6104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME891382081P2900X
AL000256632081P2900X
CAA516522081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51522717OtherBCBS OF ALABAMA
FL37435OtherBCBS OF FLORIDA
ALE97081Medicare UPIN
FL37435OtherBCBS OF FLORIDA
FL37435ZMedicare PIN
AL051522717Medicare PIN