MEDICARE: BAY AREA HOUSE CALL PHYSICIANS

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1609001700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA HOUSE CALL PHYSICIANS

Provider Business Mailing Address
First Line	:	4067 TRANSPORT ST
Second Line	:	SUITE B
City	:	PALO ALTO
State	:	CA
Zip	:	94303-4914
Country	:	US
Telephone Number	:	650-384-0986
Fax Number	:	650-251-9119

Provider Business Practice Location Address
First Line	:	4067 TRANSPORT ST
Second Line	:	SUITE B
City	:	PALO ALTO
State	:	CA
Zip	:	94303-4914
Country	:	US
Telephone Number	:	650-384-0986
Fax Number	:	650-251-9119

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. DAVID ROBERT JONES
Credential	:	M.D.
Telephone Number	:	650-384-0986

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	05/19/2009

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