| Timothy H. Jones, M.d., Inc. | |
|
6621 Bay Laurel Pl Ste A Avila Beach CA 93424-3504 | |
| (805) 556-7006 | |
| (805) 439-1482 |
| Full Name | Timothy H. Jones, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6621 Bay Laurel Pl Ste A, Avila Beach, California |
| Authorized Official Name and Position | Timothy Hollister Jones (OWNER PROVIDER) |
| Authorized Official Contact | 8054786711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy H. Jones, M.d., Inc. 302 Vista Del Mar Ave Shell Beach CA 93449-1833 Ph: (805) 478-6711 | Timothy H. Jones, M.d., Inc. 6621 Bay Laurel Pl Ste A Avila Beach CA 93424-3504 Ph: (805) 556-7006 |
| NPI Number | 1497116701 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 12/18/2025 |
| Medicare PECOS PAC ID | 5496044158 |
|---|---|
| Medicare Enrollment ID | O20160519000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497116701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
| Provider Name | Timothy H Jones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1366437402 PECOS PAC ID: 7911039334 Enrollment ID: I20120330000182 |
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