Provider Demographics
NPI:1891932539
Name:HESS, JOSHUA ERIC (PA, MPAP)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ERIC
Last Name:HESS
Suffix:
Gender:M
Credentials:PA, MPAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 OUTLET CENTER DR STE 100
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0669
Mailing Address - Country:US
Mailing Address - Phone:805-988-3200
Mailing Address - Fax:
Practice Address - Street 1:1901 OUTLET CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0669
Practice Address - Country:US
Practice Address - Phone:805-988-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29900146M00000X
CA20088363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate