Healthcare Provider Details

I. General information

NPI: 1326984832
Provider Name (Legal Business Name): TRAVIS KENNETH JONES PPS, MASTER'S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1714 BURLINGTON DR
SALINAS CA
93906-4411
US

IV. Provider business mailing address

1714 BURLINGTON DR
SALINAS CA
93906-4411
US

V. Phone/Fax

Practice location:
  • Phone: 714-421-8666
  • Fax: 831-753-5780
Mailing address:
  • Phone: 714-421-8666
  • Fax: 831-753-5780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number230134127
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: