MEDICARE: QHP NEVADA JONES, A PROFESSIONAL CORPORATION

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1811848872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QHP NEVADA JONES, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	210 N TUSTIN AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3634 S MARYLAND PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3033
Country	:	US
Telephone Number	:	888-959-5192
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN JONES
Credential	:	MD
Telephone Number	:	888-959-5192

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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