Individual provider Active NPI

Ilisten Marie Jones, M.D., M.P.H.

  • Allergy & Immunology Physician
  • Walnut Creek, CA
National Provider Identifier
1407148943
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A125510 Issued in CA
Practice address
370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2488
Phone
(925) 935-6252
Fax
(925) 930-0942
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A125510 CA Primary

Addresses

Primary practice location

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2488

Mailing address

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2488
Phone (925) 935-6252

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001088 CA Practitioner - Allergy/Immunology 5294021564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Harvard Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians
Allergy and Asthma Medical Group of the Bay Area IncGroup PAC ID 6507758224, 20 clinicians

Practice addresses (Care Compare)

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

370 N Wiget LN
Suite 210
Walnut Creek, CA 94598-2452
Phone (925) 935-6252

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
99.17
Promoting interoperability
98
Improvement activities
40
Cost
55.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125510CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Group of the Bay Area Inc Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients
Csi Medical Group CurrentSince Mar 1, 2026 Accepting new patients

Locations

3010 Colby St
Ste 221
Berkeley, CA 94705
Phone (510) 644-2316

5860 Owens Dr
Ste 450
Pleasanton, CA 94588
Phone (925) 463-4900

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

2305 Camino Ramon
Ste 225
San Ramon, CA 94583
Phone (925) 327-1450

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

370 N Wiget Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-0856

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ijones239439@hpmg.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1407148943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN",
            "address_2": "SUITE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982488",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N WIGET LN",
            "address_2": "SUITE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982488",
            "telephone_number": "925-935-6252",
            "fax_number": "925-930-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ILISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A125510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.