1205806163 NPI number — DR. FRANKLYN C JONES D.P.M.

Table of content: DR. FRANKLYN C JONES D.P.M. (NPI 1205806163)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205806163 NPI number — DR. FRANKLYN C JONES D.P.M.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
FRANKLYN
Provider Middle Name:
C
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.P.M.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PODIATRY
Provider Other First Name:
MCLEAN
Provider Other Middle Name:
JONES
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.P.M.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1205806163
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 27195
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93729-7195
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-438-0283
Provider Business Mailing Address Fax Number:
559-438-9201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6335 N FRESNO ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93710-5272
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-438-0283
Provider Business Practice Location Address Fax Number:
559-438-9201
Provider Enumeration Date:
01/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , with the licence number:  E3875 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZZ45038Z . This is a "BLUE SHIELD PROVIDER #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 000E38750 . This is a "BLUE CROSS PROVIDER NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: GRE001120 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000E38750 . This is a "PRIVATE INSURANCE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 5725140001 . This is a "NORIDIAN ADMIN. SERVICES" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".




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