MEDICARE: PAUL E JONES

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1497568091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL E JONES

Provider Business Mailing Address
First Line	:	PO BOX 1898
Second Line	:
City	:	COLTON
State	:	CA
Zip	:	92324-0821
Country	:	US
Telephone Number	:	909-289-1227
Fax Number	:

Provider Business Practice Location Address
First Line	:	794 W 40TH ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3545
Country	:	US
Telephone Number	:	909-289-1227
Fax Number	:

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

Provider Enumeration Date	:	01/28/2025
Last Update Date	:	01/28/2025

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Directions to “ PAUL E JONES ” Practice Location

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