Healthcare Provider Details

I. General information

NPI: 1750203576
Provider Name (Legal Business Name): WILLIAM JONES
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 URANIA AVE
ENCINITAS CA
92024-2232
US

IV. Provider business mailing address

963 URANIA AVE
ENCINITAS CA
92024-2232
US

V. Phone/Fax

Practice location:
  • Phone: 415-515-2869
  • Fax:
Mailing address:
  • Phone: 415-515-2869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number639109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: