Individual provider Active NPI

Kathleen Kay Jones, M.D.

  • Otolaryngology Physician
  • Apple Valley, CA
National Provider Identifier
1548322688
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A37766 Issued in CA
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

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A377660MedicaidCA

Other names 1

  • Kathleen Kay Anding Other name

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
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

LicenseStateTypeSpecialty
A37766CAMDOrthodontics and Dentofacial Orthopedic Dentist
21058IAMDPharmacist
036-061861ILMDOtolaryngology Physician
35.044245OHMDOtolaryngology Physician
G7635TXMDOtolaryngology Physician
23744WIMDOtolaryngology 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

Verify at the official NPI Registry.