Healthcare Provider Details

I. General information

NPI: 1700963097
Provider Name (Legal Business Name): JOSEPH D HOBBS P.A.-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 GATEWAY DR SUITE 110
LINCOLN CA
95648-3317
US

IV. Provider business mailing address

160 GATEWAY DR SUITE 110
LINCOLN CA
95648-3317
US

V. Phone/Fax

Practice location:
  • Phone: 916-434-1623
  • Fax: 916-434-1625
Mailing address:
  • Phone: 916-434-1623
  • Fax: 916-434-1625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13367
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: