Healthcare Provider Details

I. General information

NPI: 1447890165
Provider Name (Legal Business Name): THE OSTEOPATHIC WAY, P.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 PORTER ST STE 17
SOQUEL CA
95073-2453
US

IV. Provider business mailing address

PO BOX 520
APTOS CA
95001-0520
US

V. Phone/Fax

Practice location:
  • Phone: 831-920-3838
  • Fax: 831-222-1004
Mailing address:
  • Phone: 831-920-3838
  • Fax: 831-222-1004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA JAMES FISCHER
Title or Position: CFO
Credential: DO
Phone: 831-920-3838