Active NPI
Dane R. Jones, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Santa Ana, CA
National Provider Identifier
1780244400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI27480619
- Practice address
- 1950 E 17TH St Ste 150
Santa Ana, CA 92705-6852 - Phone
- (714) 547-4300
- Fax
- (714) 547-2109
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CI27480619 | CA | Primary |
Addresses
Primary practice location
1950 E 17TH St Ste 150
Santa Ana, CA 92705-6852
Mailing address
5190 Atlantic Ave
Long Beach, CA 90805-6510
Phone (562) 428-4111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI27480619 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1780244400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056510",
"telephone_number": "562-428-4111",
"fax_number": "562-984-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E 17TH ST STE 150",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056852",
"telephone_number": "714-547-4300",
"fax_number": "714-547-2109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DANE",
"middle_name": "R.",
"credential": "CADC-II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-14",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI27480619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.