Provider Demographics
NPI:1902826910
Name:ROJAS, ADRIAN QUIROZ (PAC)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:QUIROZ
Last Name:ROJAS
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 HOBSON WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6706
Mailing Address - Country:US
Mailing Address - Phone:805-247-1811
Mailing Address - Fax:805-483-7981
Practice Address - Street 1:1300 N VENTURA RD
Practice Address - Street 2:SUITE B
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-3836
Practice Address - Country:US
Practice Address - Phone:805-247-1811
Practice Address - Fax:805-483-7981
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13825363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA13825Medicaid
CAWPA13825BMedicare ID - Type Unspecified
CAPA13825Medicaid