Walter Jones, III, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54962 Issued in CA

Legal business name

WALTER JONES, III, M.D., INC.

Practice address

255 Terracina Blvd
Ste# 101a & B
Redlands, CA 92373-4870

Phone

(909) 748-6569

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walter Jones III, M.D.NPI 1164593372

Title

Owner

Phone

(909) 748-6569

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Jones III, M.D.

  • Internal Medicine Physician
  • Yucaipa, CA
  • NPI 1164593372
  Medicare reassignment NPD Authorized official
• Nickeshia Ferron, P.A.

  • Physician Assistant
  • Hemet, CA
  • NPI 1730499617
  NPD (past)
• Robert James Karras, MSPAS, PA-C

  • Medical Physician Assistant
  • Redlands, CA
  • NPI 1154621985
  NPD (past)
• Annie Wai-Chee Li, PA-C

  • Physician Assistant
  • San Leandro, CA
  • NPI 1497260772
  NPD (past)
• Melissa Ann Teoli, PA-C

  • Medical Physician Assistant
  • Redlands, CA
  • NPI 1174900989
  NPD (past)
• Rebecca R.M. Ware, PA - C

  • Physician Assistant
  • Redlands, CA
  • NPI 1609159615
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1669660338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730061",
            "telephone_number": "909-748-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "STE# 101A & B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-748-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER JONES, III, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-748-6569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00002131",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Wall, M.O.T.R/L
• Marc Wall
• Vanessa Wallace
• James K Wallman, M.D.
• Walmart Inc.
• Trish Walters
• Ann Andee Wang, MD
• Cheng Wang, M.D.
• Heidi Mellor Wang, MOTR/L
• Michelle Wang, D.D.S.

• Internal Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.