DR. KELLY LEE JONES MD
NPI 1639199870
Family Medicine in Los Angeles, CA

Active since July 20, 2006PECOS Enrolled
4211 AVALON BLVD STE A, LOS ANGELES, CA 90011(323) 234-0616(323) 234-0616 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Dr. Kelly Lee Jones Md NPPES

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

DR. KELLY LEE JONES MD (NPI 1639199870) is an individual family medicine provider in Los Angeles, California, licensed in California (A76087) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639199870
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY LEE JONESCredential: MD
Location Address4211 AVALON BLVD STE ALos Angeles, CA 90011-5622
Mailing Address4211 Avalon Blvd, Hr DepartmentLos Angeles, CA 90011-5622 · (323) 582-2251 · Fax (323) 582-2251
Fax(323) 234-0616
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1639199870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A76087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4211 AVALON BLVD STE A, Los Angeles, CA 90011

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Lee Jones Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
1401 S GRAND AVE
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 169 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
4211 AVALON BLVD STE A
LOS ANGELES, CA 90011
Physician Assistant (Medical)
4211 AVALON BLVD STE A
LOS ANGELES, CA 90011
Physician Assistant
4211 AVALON BLVD STE A
LOS ANGELES, CA 90011

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 Kelly Jones's NPI number?

The NPI number for Kelly Jones is 1639199870. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Kelly Jones located?

Kelly Jones practices at 4211 Avalon Blvd Ste A, Los Angeles, CA 90011. The listed phone number is (323) 234-0616.

What is Kelly Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Jones enrolled in Medicare?

Yes. Kelly Jones is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jones reassigns Medicare benefits to Golden State Emergency Physicians Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Jones was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.