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JESSE JONES RADT-1 R9201214
NPI 1356715098
Substance Abuse Rehabilitation Facility in Novato, CA

Active since November 18, 2015
530 LOLETA LN, NOVATO, CA 94947(415) 678-6646 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jesse Jones Radt-1 R9201214 NPPES

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

JESSE JONES RADT-1 R9201214 (NPI 1356715098) is an individual substance abuse rehabilitation facility provider in Novato, California, licensed in California (R9201214) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1356715098
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameJESSE JONESCredential: RADT-1 R9201214
Location Address530 LOLETA LNNovato, CA 94947-5210
Mailing Address530 Loleta LnNovato, CA 94947-5210 · (415) 678-6646
Phone(415) 678-6646
Sole ProprietorYes
Enumeration DateNovember 18, 2015
✔ NPI 1356715098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · R9201214
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
530 LOLETA LN, Novato, CA 94947
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Other Identifiers 1

MedicaidD3861759CA

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 Jesse Jones's NPI number?

The NPI number for Jesse Jones is 1356715098. It was assigned to this individual provider in the NPPES registry on November 18, 2015.

Where is Jesse Jones located?

Jesse Jones practices at 530 Loleta Ln, Novato, CA 94947. The listed phone number is (415) 678-6646.

What is Jesse Jones's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Jesse Jones was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.