Individual provider Active NPI

Timothy Scott Jones, PAC

  • Physician Assistant
  • Van Nuys, CA
National Provider Identifier
1437231164
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13884 Issued in CA
Practice address
15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606
Phone
(818) 997-7711
Fax
(818) 997-3744
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13884 CA Primary

Addresses

Primary practice location

15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606

Mailing address

15211 Vanowen St
Suite 105
Van Nuys, CA 91405-3606
Phone (818) 997-7711

Other practice location 1

2525 Erringer Rd
Simi Valley, CA 93065-2352
Phone (805) 527-1404

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL venturaortho.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13884CAMDPhysician Assistant
13884CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Aug 27, 2021 Accepting new patients
Ventura Orthopedics Medical Group, Inc. CurrentSince Aug 27, 2021 Accepting new patients

Locations

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 585-5166

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

2525 Erringer Rd
Simi Valley, CA 93065
Phone (805) 527-1404

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

Interoperability endpoints

  • Direct secure messaging: tjones1023191@direct.uclahealth.org

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1437231164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-997-7711",
            "fax_number": "818-997-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053606",
            "telephone_number": "818-997-7711",
            "fax_number": "818-997-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Erringer Rd",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652352",
            "country_code": "US",
            "telephone_number": "805-527-1404",
            "fax_number": "805-527-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "venturaortho.com",
            "affiliation": "N",
            "address_1": "2525 Erringer Rd",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.