JOSHUA BENNETT PA-C
NPI 1093469017
Physician Assistant - Medical in San Diego, CA

Active since February 08, 2022
2450 CRAVEN ST BLDG 3300, SAN DIEGO, CA 92136(619) 881-9202 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2025, Apr 22, 2022, Feb 8, 2022 (3 updates tracked since 2022).

About Joshua Bennett Pa-c NPPES

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

JOSHUA BENNETT PA-C (NPI 1093469017) is an individual medical provider in San Diego, California, licensed in California (PA64095) and active in the NPI registry since February 2022. He maintains a secondary practice location in Edmond.

NPPES Registry Identity

NPI1093469017
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOSHUA BENNETTCredential: PA-C
Location Address2450 CRAVEN ST BLDG 3300San Diego, CA 92136-2226
Mailing Address2232 Nw 196th StEdmond, OK 73012-3636 · (858) 245-0998
Sole ProprietorNo
Enumeration DateFebruary 8, 2022
Last NPPES UpdateMarch 3, 20253 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
NPI 1093469017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CA · PA64095 Licensed in OK · 4748
Also ListedPhysician AssistantTaxonomy 363A00000X · License 4748 (OK)
2450 CRAVEN ST BLDG 3300, San Diego, CA 92136

Secondary Practice Location 1

Location 12232 NW 196th StEdmond, OK 73012-3636 · Phone (858) 245-0998

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
2450 CRAVEN ST BLDG 3300, NAVAL HEALTH CLINIC NAVAL STATION SAN DIEGO
SAN DIEGO, CA 92136
Physician Assistant
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Specialist/Technologist (Athletic Trainer)
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Family Medicine (Sports Medicine)
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Student in an Organized Health Care Education/Training Program
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Psychologist (Clinical)
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Military Health Care Provider (Independent Duty Corpsman)
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
Family Medicine
2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Bennett's NPI number?

The NPI number for Joshua Bennett is 1093469017. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Joshua Bennett located?

Joshua Bennett practices at 2450 Craven St Bldg 3300, San Diego, CA 92136. The listed phone number is (619) 881-9202.

What is Joshua Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Joshua Bennett accept?

Health plans from Medica and Mending Health list Joshua Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joshua Bennett was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.