Individual provider Active NPI

Paul Christopher Jones, PA-C

  • Physician Assistant
  • Whittier, CA
National Provider Identifier
1023837895
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1216361 Issued in CA
Practice address
10624 Mollyknoll Ave
Whittier, CA 90603-2723
Phone
(562) 201-9173
NPI assigned
Oct 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1216361 CA Primary

Addresses

Primary practice location

10624 Mollyknoll Ave
Whittier, CA 90603-2723

Mailing address

10624 Mollyknoll Ave
Whittier, CA 90603-2723
Phone (562) 201-9173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402001309 CA Practitioner - Physician Assistant 4284157041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Specialist and Nursing CorporationGroup PAC ID 8820399264, 11 clinicians

Practice addresses (Care Compare)

4619 Rosemead Blvd
Rosemead, CA 91770-1478
Phone (626) 408-5927

517 S Myrtle Ave
Suite 101
Monrovia, CA 91016-6100
Phone (628) 408-5927

5353 G St
Chino, CA 91710-5249
Phone (626) 408-5927

Hospital & facility affiliations

  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65172CAMDPharmacist
1216361CAMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1023837895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 MOLLYKNOLL AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032723",
            "telephone_number": "562-201-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 MOLLYKNOLL AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032723",
            "telephone_number": "562-201-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAUL",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1216361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.