Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

John J. Jolley, M.D. A Professional Corporation

Medical Specialty Clinic/Center in San Rafael, CA · enumerated 2011 · authorized official John Jolley, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053607903

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Registry record

Entity type Organization (Type 2)

Legal business name John J. Jolley, M.D. A Professional Corporation

Practice address 750 Las Gallinas Ave Ste 106, San Rafael, CA, 94903

Phone (415) 888-2755

Fax (415) 888-2754

Enumeration date Jun 20, 2011

Last updated in NPPES Apr 16, 2020

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License G021951 (CA) Primary

Authorized official

Name John Jolley

Title President

Phone (415) 888-2755

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for John J. Jolley, M.D. A Professional Corporation?

NPPES lists John Jolley (President) as the authorized official for this organization.

What is the NPI number for John J. Jolley, M.D. A Professional Corporation?

The NPI for John J. Jolley, M.D. A Professional Corporation is 1053607903, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-16.