Individual provider · Type 1 NPI

Joshua Bennett, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1093469017 Active

Practice location

2450 Craven St Bldg 3300
San Diego, CA 92136-2226

Mailing address

2232 NW 196th St
Edmond, OK 73012-3636

Other practice locations

  • 2232 NW 196th St, Edmond, OK 73012-3636 · (858) 245-0998

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X4748 (OK)
Physician Assistant 363A00000X4748 (OK)
Medical Physician Assistant Primary 363AM0700XPA64095 (CA)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1093469017

Joshua Bennett, PA-C's National Provider Identifier is 1093469017, issued on Feb 8, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Mar 3, 2025.