Organization Active NPI

Robert L Jones MD Inc

  • Ophthalmology Physician
  • Newport Beach, CA
National Provider Identifier
1962681239
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G51540 Issued in CA
Legal business name
ROBERT L JONES MD INC
Practice address
1401 Avocado Street
Suite 505
Newport Beach, CA 92660-8722
Phone
(949) 644-0239
Fax
(949) 644-0461
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Robert L Jones, MDNPI 1891716569
Title
MD Ophthalmologist
Phone
(949) 644-0239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G51540 CA Primary

Addresses

Primary practice location

1401 Avocado Street
Suite 505
Newport Beach, CA 92660-8722

Mailing address

1401 Avocado Street
Suite 505
Newport Beach, CA 92660-8722
Phone (949) 644-0239

Other identifiers 1

IdentifierTypeStateIssuer
00G51540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000305 CA Part B Supplier - Clinic/Group Practice 2769678994 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

4220 Von Karman Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 284-7428

1401 Avocado Ave
Ste 505
Newport Beach, CA 92660
Phone (949) 640-2212

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1962681239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO STREET",
            "address_2": "SUITE 505",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608722",
            "telephone_number": "949-644-0239",
            "fax_number": "949-644-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO STREET",
            "address_2": "SUITE 505",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608722",
            "telephone_number": "949-644-0239",
            "fax_number": "949-644-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L JONES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "949-644-0239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G51540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G51540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.