Active NPI
Josie Aubrey Hunt, PA-C, MPH
- Medical Physician Assistant
- Vallejo, CA
National Provider Identifier
1396093852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5174
- Practice address
- 1310 Club Dr
Vallejo, CA 94592-1187 - Phone
- (530) 519-2105
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5174 | AZ | Primary |
Addresses
Primary practice location
1310 Club Dr
Vallejo, CA 94592-1187
Mailing address
1310 Club Dr
Vallejo, CA 94592-1187
Phone (530) 519-2105
Other practice location 1
3130 E Baseline Rd
Ste. 103 & 104
Mesa, AZ 85204-7290
Phone (480) 539-7618
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5174 | AZ | MD | Medical Physician Assistant |
Interoperability endpoints
- jhunt716977@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1396093852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 CLUB DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945921187",
"telephone_number": "530-519-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 CLUB DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945921187",
"telephone_number": "530-519-2105"
}
],
"practiceLocations": [
{
"address_1": "3130 E Baseline Rd",
"address_2": "Ste. 103 & 104",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852047290",
"country_code": "US",
"telephone_number": "480-539-7618",
"fax_number": "480-539-1704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUNT",
"first_name": "JOSIE",
"middle_name": "AUBREY",
"name_prefix": "Mrs.",
"credential": "PA-C, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "5174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.