JOSHUA BENNETT PA-C NPI 1093469017

NPI Information

  • NPI: 1093469017
  • Provider Name: JOSHUA BENNETT, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2450 CRAVEN ST BLDG 3300
    SAN DIEGO, CA
    ZIP 92136
  • Phone: (619) 881-9202

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NPI Details

Joshua Bennett, PA-C is a medical physician assistant in San Diego, CA. Joshua Bennett, PA-C NPI is 1093469017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA
ZIP 92136-226
Phone: (619) 881-9202

The NPI 1093469017 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/8/2022 and was last updated on 3/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical4748OKLAHOMANo
2363A00000XPhysician Assistant4748OKLAHOMANo
3363AM0700XPhysician AssistantMedicalPA64095CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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