Healthcare Provider Details

I. General information

NPI: 1285516856
Provider Name (Legal Business Name): JOSHUA PERAZA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CAMINO DEL SOL
OXNARD CA
93030-3725
US

IV. Provider business mailing address

930 QUIET HARBOR LN
CORONA CA
92881-8441
US

V. Phone/Fax

Practice location:
  • Phone: 805-278-0781
  • Fax:
Mailing address:
  • Phone: 951-316-0244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: