MEDICARE: MR. NATHANIEL MARK JONES SR. IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1821067687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NATHANIEL MARK JONES SR. IDC

Provider Business Mailing Address
First Line	:	1801 N VENTURA RD
Second Line	:	APT 78
City	:	OXNARD
State	:	CA
Zip	:	93030-3357
Country	:	US
Telephone Number	:	805-485-8701
Fax Number	:	805-989-3936

Provider Business Practice Location Address
First Line	:	ONE DISPENSARY RD
Second Line	:	BLDG 5
City	:	PT MUGU NAWC
State	:	CA
Zip	:	93042-0001
Country	:	US
Telephone Number	:	805-989-8264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1811951643 — MR. PAUL MCLAIN ZIEMER IDC
Practice Location Address:

NAVAL AMBULATORY CARE CLINIC POINT MUGU , 1 DISPENSARY RD, BLDG 5
POINT MUGU NAWC, CA
93042-0001

Practice Phone: 805-989-3916
Practice Fax:

1811189293 — LEO STEVEN RODRIGUEZ IDC
Practice Location Address:

BMA SAN NICOLAS IS , NAVAL OUTLYING LANDING FIELD
POINT MUGU NAWC, CA
93042-0001

Practice Phone: 805-989-8030
Practice Fax:

1184264780 — MICHAEL ALLEN PETRELLI DO
Practice Location Address:

1 DISPENSARY ROAD
POINT MUGU NAWC, CA
93042-0001

Practice Phone: 805-989-8815
Practice Fax:

1366645442 — NAVAL HOSPITAL CAMP PENDLETON
Practice Location Address:

1 DISPENSARY ROAD , BLDG 5
POINT MUGU, CA
93042-5017

Practice Phone: 760-725-1621
Practice Fax: 760-725-1661

1700047578 — DR. ORLANDO GABRIEL CABRERA M.D.
Practice Location Address:

1 DISPENSARY RD
NAS POINT MUGU, CA
93042

Practice Phone: 805-989-7213
Practice Fax: 805-989-8448

1679451488 — USCG AIRSTA VENTURA
Practice Location Address:

190 3RD STREET
NAVAL AIR STATION POINT MUGU, CA
93042

Practice Phone: 805-874-3260
Practice Fax:

Directions to “ MR. NATHANIEL MARK JONES SR. IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.