Healthcare Provider Details

I. General information

NPI: 1912850587
Provider Name (Legal Business Name): CAMERON JONES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 N EL CAMINO REAL STE A200
ENCINITAS CA
92024-1350
US

IV. Provider business mailing address

3900 5TH AVE STE 300
SAN DIEGO CA
92103-3138
US

V. Phone/Fax

Practice location:
  • Phone: 858-766-6007
  • Fax:
Mailing address:
  • Phone: 858-554-1212
  • Fax: 858-795-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67686
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: