Phillip Jones, NP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95007487 Issued in CA

Practice address

359 Gabilan Dr
Soledad, CA 93960-3550

Phone

(831) 769-8740

NPI assigned

Apr 24, 2017

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• County of Monterey

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment
• County of Monterey Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Salinas, CA
  • NPI 1073645586
  NPD
• County of Monterey Behavioral Health

  • Community/Behavioral Health Agency
  • King City, CA
  • NPI 1306033220
  NPD (past)

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1609301910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 GABILAN DR",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603550",
            "telephone_number": "517-285-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 GABILAN DR",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939603550",
            "telephone_number": "831-769-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Broadway St",
            "address_purpose": "LOCATION",
            "city": "King City",
            "state": "CA",
            "postal_code": "939302865",
            "country_code": "US",
            "telephone_number": "831-386-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim, Inc.
• Diana Jaime Pizano
• Eduardo Jaimes Ramirez
• Tina Latrice Johnson Hollman, LCSW
• Vanessa Johnson, PSYD
• Robert Thomas Jones, DDS
• M Jackson Kahle, PH.D.
• Austin Kang
• Anton Y Kangethe
• Anne Elizabeth Karcher, PH.D.

• Psychiatric/Mental Health Nurse Practitioner in Soledad, CA
• Providers in Soledad, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.