Provider Demographics
NPI:1114047628
Name:SUTTON, JAMES P (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:SUTTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1701 SOLAR DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0134
Mailing Address - Country:US
Mailing Address - Phone:805-278-4148
Mailing Address - Fax:805-278-4634
Practice Address - Street 1:1701 SOLAR DR
Practice Address - Street 2:SUITE 140
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0134
Practice Address - Country:US
Practice Address - Phone:805-278-4148
Practice Address - Fax:805-278-4634
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG0602032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF02751Medicare UPIN