Healthcare Provider Details

I. General information

NPI: 1871857383
Provider Name (Legal Business Name): JAMES HARVEY JONES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817-2201
US

IV. Provider business mailing address

4150 V STREET PSSB SUITE 1200
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7985
  • Fax: 916-734-2975
Mailing address:
  • Phone: 916-734-7985
  • Fax: 916-734-2975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA129183
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2022-00752
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: