Active NPI
Learie N Jones Jr.
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Moraga, CA
National Provider Identifier
1093387052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- BOC2000018524
- Practice address
- 1928 Saint Marys Rd
Moraga, CA 94575-2715 - Phone
- (515) 333-3079
- NPI assigned
- Jul 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | BOC2000018524 | CA | Primary |
Addresses
Primary practice location
1928 Saint Marys Rd
Moraga, CA 94575-2715
Mailing address
1480 Creekside Dr Apt A312
Walnut Creek, CA 94596-5510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BOC2000018524 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1093387052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 CREEKSIDE DR APT A312",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1928 SAINT MARYS RD",
"city": "MORAGA",
"state": "CA",
"postal_code": "945752715",
"telephone_number": "515-333-3079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LEARIE",
"middle_name": "N",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-10",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "BOC2000018524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moraga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.