Physician Compare National (NPI:1619083979)

HEALTHCARE PROVIDER: REGINALD J JONES MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619083979
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456543768
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101005001095
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JONES
	Individual professional last name
Provider First Name	REGINALD
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HOWARD UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS)
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3628 E IMPERIAL HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 204
	Group Practice or individual's line 2 address
City	LYNWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902622636
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050149
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CALIFORNIA HOSPITAL MEDICAL CENTER LA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y