Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joshua Bennett, PA-C

Individual provider Medical Physician Assistant · NPI 1093469017

Joshua Bennett, PA-C is a Medical Physician Assistant in San Diego, California. Works from 2 locations. Licensed in California and Oklahoma.

Licensed in
CA, OK
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2450 Craven St Bldg 3300
San Diego, CA 92136-2226
Phone: (619) 881-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA64095 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4748 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 4748 (OK)

Record details

NPI number1093469017
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 8, 2022
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025

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