Provider Demographics
NPI:1538186044
Name:JONES, RICHARD ARNOLD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ARNOLD
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 J STREET
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819
Mailing Address - Country:US
Mailing Address - Phone:916-452-8105
Mailing Address - Fax:916-452-4659
Practice Address - Street 1:4925 J STREET
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819
Practice Address - Country:US
Practice Address - Phone:916-452-8105
Practice Address - Fax:916-452-4659
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43646207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0095580Medicaid
CA5159670001OtherNORIDIAN/DMERC
A29719Medicare UPIN
CAGR0095580Medicaid