Jay S. Edmonds, Jr., MD Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G55954 Issued in CA

Legal business name

JAY S. EDMONDS, JR., MD INC.

Practice address

5 Harris CT
BLDG T Suite 103
Monterey, CA 93940-5750

Phone

(831) 375-8880

Fax

(831) 375-8804

NPI assigned

Jun 17, 2006

Last updated

Oct 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay S Edmonds Jr., MDNPI 1619944881

Title

Owner

Phone

(831) 375-8880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay S Edmonds Jr., MD

  • Family Medicine Physician
  • Monterey, CA
  • NPI 1619944881
  Authorized official Same address or phone

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1114962016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WALTER COLTON DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404230",
            "telephone_number": "831-375-8880",
            "fax_number": "831-375-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT",
            "address_2": "BLDG T SUITE 103",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-8880",
            "fax_number": "831-375-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY S. EDMONDS, JR., MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-375-8880",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tiffanie Marie Jeffrey
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• Jennifer Dentici, LMFT

• Family Medicine Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.