Healthcare Provider Details

I. General information

NPI: 1639435449
Provider Name (Legal Business Name): JOSEPH A CABARET MD A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E DAILY DR SUITE #228
CAMARILLO CA
93010-5806
US

IV. Provider business mailing address

601 E DAILY DR STE 228
CAMARILLO CA
93010-5840
US

V. Phone/Fax

Practice location:
  • Phone: 805-914-0637
  • Fax: 805-693-4327
Mailing address:
  • Phone: 805-914-0637
  • Fax: 805-693-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberA51410
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH A CABARET
Title or Position: PRESIDENT/ OWNER
Credential: MD
Phone: 310-792-3914