Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 37317 | CA |
NPI | 1053486399 |
---|---|
Provider Name | Dr. James W Jones |
First Address | Santa Maria, CA 93454-6917 |
Second Address | Santa Maria, CA 93454-5906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 14/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
49376801 | (05) | HI |
D24241 | (02) |