JAY S. EDMONDS JR. MD INC. NPI 1114962016

NPI Information

  • NPI: 1114962016
  • Provider Name: JAY S. EDMONDS, JR., MD INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5 HARRIS CT
    BLDG T SUITE 103
    MONTEREY, CA
    ZIP 93940
  • Phone: (831) 375-8880

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NPI Details

JAY S. EDMONDS, JR., MD INC. is a family medicine in Monterey, CA. The provider is 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. JAY S. EDMONDS, JR., MD INC. NPI is 1114962016. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 HARRIS CT
BLDG T SUITE 103
MONTEREY, CA
ZIP 93940-750
Phone: (831) 375-8880
Fax: (831) 375-8804

The provider's authorized official is Jay S Edmonds .
The authorized official title is Owner and has the following contact phone number (831) 375-8880.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG55954CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ02398ZMEDICARE PINCALIFORNIA
2G55954OTHERCALIFORNIABLUE CROSS
3000G559540OTHERDELAWAREBLUE SHIELD
4E90117MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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