Active NPI
Ray Jason Fajardo, MS, PA-C
- Physician Assistant
- Camarillo, CA
National Provider Identifier
1255668570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18226
- Practice address
- 2275 Las Posas Rd
Camarillo, CA 93010-3344 - Phone
- (805) 388-3732
- Fax
- (805) 987-2904
- NPI assigned
- Nov 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18226 | CA | Primary |
Addresses
Primary practice location
2275 Las Posas Rd
Camarillo, CA 93010-3344
Mailing address
2275 Las Posas Rd
Camarillo, CA 93010-3344
Phone (805) 388-3732
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18226 | CA | MD | Occupational Therapist |
| PA18226 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1255668570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 LAS POSAS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103344",
"telephone_number": "805-388-3732",
"fax_number": "805-987-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 LAS POSAS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930103344",
"telephone_number": "805-388-3732",
"fax_number": "805-987-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJARDO",
"first_name": "RAY JASON",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-06",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.