MEDICARE: TIMOTHY H. JONES, M.D., INC.

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	207Q00000X	Family Medicine Physician		CA

General Provider Information

NPI Number	:	1497116701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY H. JONES, M.D., INC.

Provider Business Mailing Address
First Line	:	302 VISTA DEL MAR AVE
Second Line	:
City	:	SHELL BEACH
State	:	CA
Zip	:	93449-1833
Country	:	US
Telephone Number	:	805-478-6711
Fax Number	:

Provider Business Practice Location Address
First Line	:	6621 BAY LAUREL PL STE A
Second Line	:
City	:	AVILA BEACH
State	:	CA
Zip	:	93424-3504
Country	:	US
Telephone Number	:	805-556-7006
Fax Number	:	805-439-1482

Authorized Official
Title or Position	:	OWNER PROVIDER
Name	:	DR. TIMOTHY HOLLISTER JONES
Credential	:
Telephone Number	:	805-478-6711

Provider Enumeration Date	:	03/14/2016
Last Update Date	:	12/18/2025

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