=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285067991
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PHILLIP E JONES MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/16/2013
-----------------------------------------------------
Last Update Date | 06/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 131 RALEY BLVD
-----------------------------------------------------
City | CHICO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95928-8347
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-754-3282
-----------------------------------------------------
Fax | 530-891-4239
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6127 CLARK RD STE 200
-----------------------------------------------------
City | PARADISE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95969-4177
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-872-1745
-----------------------------------------------------
Fax | 530-872-7410
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. AMBER RUTLEDGE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 530-897-4500
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------