Individual provider Active NPI

Craig Alexander Jones, PA

  • Medical Physician Assistant
  • Chino Hills, CA
National Provider Identifier
1245900687
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
16675 Slate Dr Unit 432
Chino Hills, CA 91709-7411
Phone
(562) 447-7065
NPI assigned
Sep 16, 2021
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

16675 Slate Dr Unit 432
Chino Hills, CA 91709-7411

Mailing address

16675 Slate Dr Unit 432
Chino Hills, CA 91709-7411
Phone (562) 447-7065

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
I20210921003763 CA Practitioner - Physician Assistant 9931506755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nellie Gail Urgent Care Medical CorpGroup PAC ID 7810203999, 4 clinicians

Practice addresses (Care Compare)

27001 Moulton Pkwy
Laguna Hills, CA 92656-3626
Phone (949) 600-1907

315 S Tustin St
Orange, CA 92866-2501
Phone (714) 422-3056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59983CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nellie Gail Urgent Care Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: craig.jones.1@24997.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1245900687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16675 SLATE DR UNIT 432",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097411",
            "telephone_number": "562-447-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16675 SLATE DR UNIT 432",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097411",
            "telephone_number": "562-447-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CRAIG",
        "middle_name": "ALEXANDER",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.