NPIMap

Organization Active NPI

Timothy H. Jones, M.D., Inc.

  • Family Medicine Physician
  • Avila Beach, CA
National Provider Identifier
1497116701
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TIMOTHY H. JONES, M.D., INC.
Practice address
6621 Bay Laurel PL Ste a
Avila Beach, CA 93424-3504
Phone
(805) 556-7006
Fax
(805) 439-1482
NPI assigned
Mar 14, 2016
Last updated
Dec 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
Dr. Timothy Hollister JonesNPI 1366437402
Title
Owner Provider
Phone
(805) 478-6711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA Primary

Addresses

Primary practice location

6621 Bay Laurel PL Ste a
Avila Beach, CA 93424-3504

Mailing address

302 Vista del Mar Ave
Shell Beach, CA 93449-1833
Phone (805) 478-6711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519000491 CA Part B Supplier - Clinic/Group Practice 5496044158 Receives reassigned benefits from 1 practitioner
Practice locations: Avila Beach, CA

National Provider Directory

National Provider Directory

Locations

211 Tank Farm Rd
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 439-3900

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1497116701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 VISTA DEL MAR AVE",
            "city": "SHELL BEACH",
            "state": "CA",
            "postal_code": "934491833",
            "telephone_number": "805-478-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 BAY LAUREL PL STE A",
            "city": "AVILA BEACH",
            "state": "CA",
            "postal_code": "934243504",
            "telephone_number": "805-556-7006",
            "fax_number": "805-439-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY H. JONES, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HOLLISTER",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "805-478-6711",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avila Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.