Active NPI
Mark Jones, R.D.
- Registered Dietitian
- Commerce, CA
National Provider Identifier
1841671203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1097799
- Practice address
- 972 Goodrich Blvd
Commerce, CA 90022-4114 - Phone
- (888) 499-9303
- NPI assigned
- Jun 11, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1097799 | CA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 1097799 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1097799 | CA | |
| Registered Dietitian | 133V00000X | 1097799 | CA | Primary |
Addresses
Primary practice location
972 Goodrich Blvd
Commerce, CA 90022-4114
Mailing address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1411
Other practice location 1
808 W 58th St
Los Angeles, CA 90037-3632
Phone (323) 541-1411
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097799 | CA | MD | Metabolic Nutrition Registered Dietitian |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mark.jones.1@28334.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1841671203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "323-541-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 GOODRICH BLVD",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900224114",
"telephone_number": "888-499-9303"
}
],
"practiceLocations": [
{
"address_1": "808 W 58th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900373632",
"country_code": "US",
"telephone_number": "323-541-1411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-11",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "1097799",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "1097799",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "1097799",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "1097799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.