JOSEPH CAVANAGH JR.
NPI 1053768895
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Joseph Cavanagh's NPI number?

The NPI number for Joseph Cavanagh is 1053768895. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Joseph Cavanagh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Cavanagh was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 23, 2016

2865 LOGAN AVE, SAN DIEGO, CA 92113(619) 232-4357 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Joseph Cavanagh Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH CAVANAGH JR. (NPI 1053768895) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1053768895

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOSEPH CAVANAGH JR.

Location Address2865 LOGAN AVESan Diego, CA 92113-2411

Mailing Address2865 Logan AveSan Diego, CA 92113-2411 · (619) 232-4357

Phone(619) 232-4357

Sole ProprietorNo

Enumeration DateMay 23, 2016

✔ NPI 1053768895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2865 LOGAN AVE, San Diego, CA 92113

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