| Timothy H. Jones, M.d., Inc. | |
|
302 Vista Del Mar Ave Shell Beach CA 93449-1833 | |
| (805) 236-1277 | |
| (805) 625-7091 |
| Full Name | Timothy H. Jones, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 302 Vista Del Mar Ave, Shell Beach, California |
| Authorized Official Name and Position | Gloria J Azuara (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 8052361277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy H. Jones, M.d., Inc. 302 Vista Del Mar Ave Shell Beach CA 93449-1833 Ph: (805) 236-1277 | Timothy H. Jones, M.d., Inc. 302 Vista Del Mar Ave Shell Beach CA 93449-1833 Ph: (805) 236-1277 |
| NPI Number | 1497116701 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 12/02/2018 |
| Medicare PECOS PAC ID | 5496044158 |
|---|---|
| Medicare Enrollment ID | O20160519000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497116701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Timothy H Jones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366437402 PECOS PAC ID: 7911039334 Enrollment ID: I20120330000182 |
Coastal Prestige Medical Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1677 Shell Beach Rd, Shell Beach, CA 93449 Phone: 805-201-9135 Fax: 805-201-9134 |