Active NPI
Aldric Marco Nicholas Jones, M.D.
- Family Medicine Physician
- Woodland Hills, CA
National Provider Identifier
1114337854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 144992
- Practice address
- 5601 De Soto Ave
Department of Family Medicine North 6, 3Rd Floor
Woodland Hills, CA 91367-6701 - Phone
- (818) 719-4828
- NPI assigned
- May 3, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 144992 | CA | Primary |
Addresses
Primary practice location
5601 De Soto Ave
Department of Family Medicine North 6, 3Rd Floor
Woodland Hills, CA 91367-6701
Mailing address
111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1114337854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N SEPULVEDA BLVD STE 210",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"address_2": "DEPARTMENT OF FAMILY MEDICINE NORTH 6, 3RD FLOOR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676701",
"telephone_number": "818-719-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALDRIC",
"middle_name": "MARCO NICHOLAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-03",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "144992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.