Healthcare Provider Details

I. General information

NPI: 1326402736
Provider Name (Legal Business Name): JOSHUA CONNOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CALIFORNIA DRIVE CALIFORNIA MEDICAL FACILITY
VACAVILLE CA
95687-0000
US

IV. Provider business mailing address

1600 CALIFORNIA DRIVE CALIFORNIA MEDICAL FACILITY
VACAVILLE CA
95687-0000
US

V. Phone/Fax

Practice location:
  • Phone: 707-432-8544
  • Fax:
Mailing address:
  • Phone: 707-432-8544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA152283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: