Active NPI
Matthew S Jones, MD
- Anesthesiology Physician
- San Diego, CA
National Provider Identifier
1336185693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C41234
- Practice address
- 7485 Mission Valley Rd
Ste 106
San Diego, CA 92108-4422 - Phone
- (619) 291-3737
- Fax
- (619) 291-3738
- NPI assigned
- Jun 22, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C41234 | CA | Primary |
Addresses
Primary practice location
7485 Mission Valley Rd
Ste 106
San Diego, CA 92108-4422
Mailing address
PO Box 969096
San Diego, CA 92196-9096
Phone (858) 495-0971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C41234 | Other | CA | MEDICAL LICENSE |
| 00C412341 | Medicaid | CA |
Other names 1
- Walter D Jones
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C41234 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1336185693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969096",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921969096",
"telephone_number": "858-495-0971",
"fax_number": "858-495-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7485 MISSION VALLEY RD",
"address_2": "STE 106",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084422",
"telephone_number": "619-291-3737",
"fax_number": "619-291-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C41234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C41234",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C412341",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WALTER",
"last_name": "JONES",
"middle_name": "D",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.