Active NPI
Kathleen Kay Jones, M.D.
- Otolaryngology Physician
- Apple Valley, CA
National Provider Identifier
1548322688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A37766
- Practice address
- 18092 Wika Rd
Suite 120
Apple Valley, CA 92307-2132 - Phone
- (760) 946-1415
- Fax
- (760) 946-1446
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A37766 | CA | Primary |
| Otolaryngology Physician | 207Y00000X | 21058 | IA | |
| Otolaryngology Physician | 207Y00000X | 23744 | WI | |
| Otolaryngology Physician | 207Y00000X | G7635 | TX | |
| Otolaryngology Physician | 207Y00000X | 35.044245 | OH | |
| Otolaryngology Physician | 207Y00000X | 036-061861 | IL |
Addresses
Primary practice location
18092 Wika Rd
Suite 120
Apple Valley, CA 92307-2132
Mailing address
18092 Wika Rd
Suite 120
Apple Valley, CA 92307-2132
Phone (760) 946-1415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A377660 | Medicaid | CA |
Other names 1
- Kathleen Kay Anding
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080814000702 | CA | Practitioner - Otolaryngology | 3678648300 | Practice locations: Apple Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18092 Wika Rd
Suite 120
Apple Valley, CA 92307-2132
18092 Wika Rd Hwy 18 120
Apple Valley, CA 92307-2132
Phone (619) 946-1515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37766 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 21058 | IA | MD | Pharmacist |
| 036-061861 | IL | MD | Otolaryngology Physician |
| 35.044245 | OH | MD | Otolaryngology Physician |
| G7635 | TX | MD | Otolaryngology Physician |
| 23744 | WI | MD | Otolaryngology Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1548322688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18092 WIKA RD",
"address_2": "SUITE 120",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072132",
"telephone_number": "760-946-1415",
"fax_number": "760-946-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18092 WIKA RD",
"address_2": "SUITE 120",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072132",
"telephone_number": "760-946-1415",
"fax_number": "760-946-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KATHLEEN",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A37766",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "21058",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "23744",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "G7635",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35.044245",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036-061861",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A377660",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "ANDING",
"middle_name": "KAY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.