Healthcare Provider Details

I. General information

NPI: 1891932539
Provider Name (Legal Business Name): JOSHUA ERIC HESS PA, MPAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 OUTLET CENTER DR STE 100
OXNARD CA
93036-0669
US

IV. Provider business mailing address

1901 OUTLET CENTER DR STE 100
OXNARD CA
93036-0669
US

V. Phone/Fax

Practice location:
  • Phone: 805-988-3200
  • Fax:
Mailing address:
  • Phone: 805-988-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number20088
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number29900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: