Active NPI
Joy Ofo, PA
- Physician Assistant
- Montclair, CA
National Provider Identifier
1396960357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18372
- Practice address
- 9057 Central Ave
Montclair, CA 91763-1622 - Phone
- (909) 370-1777
- Fax
- (909) 370-1776
- NPI assigned
- Apr 16, 2007
- Last updated
- Jul 11, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18372 | CA | Primary |
Addresses
Primary practice location
9057 Central Ave
Montclair, CA 91763-1622
Mailing address
2619 South Lassen Ave
Ontario, CA 91761
Phone (909) 370-1777
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18372 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1396960357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 SOUTH LASSEN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91761",
"telephone_number": "909-370-1777",
"fax_number": "909-370-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9057 CENTRAL AVE",
"city": "MONTCLAIR",
"state": "CA",
"postal_code": "917631622",
"telephone_number": "909-370-1777",
"fax_number": "909-370-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFO",
"first_name": "JOY",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.