Healthcare Provider Details

I. General information

NPI: 1669988556
Provider Name (Legal Business Name): ALEJANDRA NARANJO MAZZARELLI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2017
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2651 S C ST
OXNARD CA
93033-3560
US

IV. Provider business mailing address

PO BOX 31
SOMIS CA
93066-0031
US

V. Phone/Fax

Practice location:
  • Phone: 888-898-3806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number55225
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: