Active NPI
Jacob Daniel Jones, PH.D.
- Clinical Neuropsychologist
- Rancho Cucamonga, CA
National Provider Identifier
1750928438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY30240
- Practice address
- 10470 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730-3754 - Phone
- (909) 989-4055
- NPI assigned
- Dec 2, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY30240 | CA | Primary |
Addresses
Primary practice location
10470 Foothill Blvd Ste 116
Rancho Cucamonga, CA 91730-3754
Mailing address
1730 E Ralston Ave
San Bernardino, CA 92404-2138
Phone (805) 302-6352
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30240 | CA | MD | Clinical Neuropsychologist |
| 30240 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1750928438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 E RALSTON AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924042138",
"telephone_number": "805-302-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 FOOTHILL BLVD STE 116",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303754",
"telephone_number": "909-989-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JACOB",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY30240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.