Provider Demographics
NPI:1689600041
Name:CABARET, JOSEPH ANGELO (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANGELO
Last Name:CABARET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E DAILY DR STE 228
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5840
Mailing Address - Country:US
Mailing Address - Phone:805-914-0637
Mailing Address - Fax:805-693-4327
Practice Address - Street 1:601 E DAILY DR
Practice Address - Street 2:SUITE 228
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5806
Practice Address - Country:US
Practice Address - Phone:805-914-0637
Practice Address - Fax:805-693-4327
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51410207LA0401X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAN125WMedicare PIN
CAF90567Medicare UPIN
CAA51410DMedicare PIN
CAA51410HMedicare PIN
CAA51410GMedicare PIN