John J. Jolley, M.D. a Professional Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G021951 Issued in CA

Legal business name

JOHN J. JOLLEY, M.D. A PROFESSIONAL CORPORATION

Practice address

750 Las Gallinas Ave Ste 106
San Rafael, CA 94903-3408

Phone

(415) 888-2755

Fax

(415) 888-2754

NPI assigned

Jun 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John J. Jolley, M.D.

Title

President

Phone

(415) 888-2755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1053607903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 106",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033408",
            "telephone_number": "415-888-2755",
            "fax_number": "415-888-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 106",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033408",
            "telephone_number": "415-888-2755",
            "fax_number": "415-888-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. JOLLEY, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-888-2755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G021951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustavo Alexander Jimenez
• Ruby Alejandra Jimenez
• JL Acupuncture, Inc (JL Acupuncture Clinic)
• Janet S Johanson, NP RN
• John Hamel & Associates
• Andrea Johnson, PHARM.D.
• Anne Roemer Johnson, JD
• Anthony Paul Johnson
• Ennis Scott Samuel Johnson
• Havonya Johnson

• Medical Specialty Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.