Active NPI
Carrie Regnolds Jones, MD
- Public Health & General Preventive Medicine Physician
- Richmond, CA
National Provider Identifier
1720374192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- A76687
- Practice address
- 850 Marina Bay Pkwy
BLDG.P, Third Floor
Richmond, CA 94804 - Phone
- (510) 620-5652
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | A76687 | CA | Primary |
Addresses
Primary practice location
850 Marina Bay Pkwy
BLDG.P, Third Floor
Richmond, CA 94804
Mailing address
850 Marina Bay Pkwy
BLDG.P, Third Floor
Richmond, CA 94804-6403
Phone (510) 620-5652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A76687 | Other | CA | CALIFORNIA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76687 | CA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1720374192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 MARINA BAY PKWY",
"address_2": "BLDG.P, THIRD FLOOR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948046403",
"telephone_number": "510-620-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 MARINA BAY PKWY",
"address_2": "BLDG.P, THIRD FLOOR",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94804",
"telephone_number": "510-620-5652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CARRIE",
"middle_name": "REGNOLDS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "A76687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MEDICAL LICENSE",
"identifier": "A76687",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.