Healthcare Provider Details

I. General information

NPI: 1639320393
Provider Name (Legal Business Name): JOEL JAMES HUNT PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 PLACER ST
REDDING CA
96001-1125
US

IV. Provider business mailing address

1035 PLACER ST
REDDING CA
96001-1125
US

V. Phone/Fax

Practice location:
  • Phone: 530-246-5710
  • Fax: 530-246-5710
Mailing address:
  • Phone: 530-246-5710
  • Fax: 530-246-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA09586
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number68473
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA09586
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: