JOHN J. JOLLEY, M.D. A PROFESSIONAL CORPORATION
NPI 1053607903
Clinic/Center - Medical Specialty in San Rafael, CA

Q: What is John J. Jolley, M.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since June 20, 2011

750 LAS GALLINAS AVE STE 106, SAN RAFAEL, CA 94903(415) 888-2755(415) 888-2754 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John J. Jolley, M.d. A Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J. JOLLEY, M.D. A PROFESSIONAL CORPORATION (NPI 1053607903) is a healthcare organization registered as a medical specialty in San Rafael, California and active in the NPI registry since June 2011. The organization lists John J. Jolley, President, as its authorized official.

NPPES Registry Identity

NPI1053607903

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameJOHN J. JOLLEY, M.D. A PROFESSIONAL CORPORATION

Location Address750 LAS GALLINAS AVE STE 106San Rafael, CA 94903-3408

Mailing Address750 Las Gallinas Ave Ste 106San Rafael, CA 94903-3408 · (415) 888-2755 · Fax (415) 888-2754

Phone(415) 888-2755

Fax(415) 888-2754

Organization SubpartNo

Authorized OfficialJohn J. JolleyPresident · (415) 888-2755

Enumeration DateJune 20, 2011

Last NPPES UpdateApril 16, 2020

NPPES CertifiedApril 16, 2020

✔ NPI 1053607903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in CA · G021951

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

750 LAS GALLINAS AVE STE 106, San Rafael, CA 94903

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John J. Jolley, M.D. A Professional Corporation's NPI number?

The NPI number for John J. Jolley, M.D. A Professional Corporation is 1053607903. It was assigned to this organization in the NPPES registry on June 20, 2011.

Where is John J. Jolley, M.D. A Professional Corporation located?

John J. Jolley, M.D. A Professional Corporation is located at 750 Las Gallinas Ave Ste 106, San Rafael, CA 94903. The listed phone number is (415) 888-2755.

What is John J. Jolley, M.D. A Professional Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for John J. Jolley, M.D. A Professional Corporation was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.