MEDICARE: DR. LAYBON JONES JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	G39826	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G39826	OTHER	CA	LICENSE

General Provider Information

NPI Number	:	1205972296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAYBON JONES JR. M.D.

Provider Business Mailing Address
First Line	:	96 SPRINGSTOWNE CTR
Second Line	:	SUITE B
City	:	VALLEJO
State	:	CA
Zip	:	94591-5599
Country	:	US
Telephone Number	:	707-642-4155
Fax Number	:	707-642-4588

Provider Business Practice Location Address
First Line	:	96 SPRINGSTOWNE CTR
Second Line	:	SUITE B
City	:	VALLEJO
State	:	CA
Zip	:	94591-5599
Country	:	US
Telephone Number	:	707-642-4155
Fax Number	:	707-642-4588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	05/07/2026

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