Charles Ethian Jones

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

29354 Issued in CA

Practice address

12625 Hesperia Rd
Victorville, CA 92395-7720

Phone

(909) 421-9311

NPI assigned

Mar 6, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1437005964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12143 GALAXY ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929528",
            "telephone_number": "909-694-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957720",
            "telephone_number": "909-421-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLES",
        "middle_name": "ETHIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "29354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyshia Navonne Johnson, LCSW
• Ralph Earl Johnson Jr.
• Samuel Alexander Johnson, D.B.C, M-RAS, C.S.C
• Bhavleen Jolly, O.D.
• Beverly Jones
• David Michael Jones
• Dayveon Jones
• Etta Marie Jones, CAS
• Fonisha Jones, SUD 1 COUNSELOR
• Heaven Malaya Jones

• Licensed Psychiatric Technician in Victorville, CA
• Providers in Victorville, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.