Healthcare Provider Details

I. General information

NPI: 1386513299
Provider Name (Legal Business Name): TORI MARIA HOCKWALD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORI MARIA GONZALES

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 S SANTA FE AVE
VISTA CA
92084-6002
US

IV. Provider business mailing address

204 S SANTA FE AVE
VISTA CA
92084-6002
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-1212
  • Fax: 858-795-1195
Mailing address:
  • Phone: 858-554-1212
  • Fax: 858-795-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA68615
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA3384
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: