Provider Demographics
NPI:1831955079
Name:ROBERTS, JOSHUA SCOTT
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:SCOTT
Last Name:ROBERTS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40500 REDBUD DR
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9809
Mailing Address - Country:US
Mailing Address - Phone:559-658-6590
Mailing Address - Fax:
Practice Address - Street 1:40500 REDBUD DR
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9809
Practice Address - Country:US
Practice Address - Phone:559-658-6590
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP-25528146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP-25528OtherCALIFORNIA EMS AUTHORITY