JESSE JONES (NPI# 1356715098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356715098 |
| Entity Type | Individual |
| Full Name | JESSE JONES |
| Credential | RADT-1 R9201214 |
| Practice Address |
530 Loleta Ln Novato CA 94947-5210 |
| Practice Telephone | 4156786646 |
| Mailing Telephone | 4156786646 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | R9201214 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | D3861759 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740797620 | Jesse Jones | Clinic/Center | 23092 El Campo Rd, Harlingen, TX 78552-4147 | 2018-01-02 |
| 1093092934 | Jesse Tyler Jones | Massage Therapist | 11611 Airport Rd Ste 204, Everett, WA 98204-3782 | 2011-11-07 |
| 1922153394 | Jesse Andrew Jones | Optometrist | 4189 Ridge Ave, Philadelphia, PA 19129-1545 | 2007-01-24 |
| 1407810781 | Jesse Lee Jones | Obstetrics & Gynecology | 1370 Montreal Rd, Suite 170, Tucker, GA 30084-8128 | 2006-04-14 |
| 1255948006 | Jesse Benton Jones | Massage Therapist | 105 N Parkway Ave, Battle Ground, WA 98604-9129 | 2020-09-25 |
| 1215576731 | Jesse D Jones | Licensed Practical Nurse | 615a Govan Ave, Holly Springs, MS 38635-2110 | 2020-01-01 |
| 1295389179 | Jesse Alan Jones | Registered Nurse | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2019-07-29 |
| 1750873881 | Jesse Griffin Jones | Community Health Worker | 1380 Howard St, San Francisco, CA 94103-2638 | 2018-06-04 |
| 1508219387 | Jesse Jay Jones | Massage Therapist | 8751 W Charleston Blvd, Suite 190, Las Vegas, NV 89117-5480 | 2016-07-18 |
| 1114264801 | Jesse Lee Jones | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Anesthesia Services, Springfield, IL 62702-5324 | 2013-01-15 |
| Street Address |
530 LOLETA LN |
| City | NOVATO |
| State | CA |
| Zip Code | 94947-5210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1003068305 | Suttinee Saguandeekul | Pharmacist | 910 Diablo Ave, Novato, CA 94947 | 2008-10-17 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| Find all providers in zip 94947 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275178014 | Avery Lane | Substance Abuse Rehabilitation Facility | 685 Atherton Ave, Novato, CA 94945-2617 | 2019-11-15 |
| 1518312529 | Living At Reflections, LLC | Substance Abuse Rehabilitation Facility | 10 Lockton Ln, Novato, CA 94945-2727 | 2016-04-27 |
| 1912375254 | Eric Joseph Peters Sr. | Substance Abuse Rehabilitation Facility | 629 Wilson Ave, Novato, CA 94947-3823 | 2015-09-03 |
| 1174862064 | Living At Reflections LLC | Substance Abuse Rehabilitation Facility | 1191 Simmons Ln, Novato, CA 94945-1735 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
| 1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
| 1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
| 1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
| 1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
| 1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
| 1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
| 1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.