Provider Demographics
NPI:1164505590
Name:JONUSAS, KARINA (PAC)
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:
Last Name:JONUSAS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 S VICTORIA AVE # L4640
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93009-0677
Mailing Address - Country:US
Mailing Address - Phone:805-677-5358
Mailing Address - Fax:
Practice Address - Street 1:2240 E GONZALES RD STE 100
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-8212
Practice Address - Country:US
Practice Address - Phone:805-981-5161
Practice Address - Fax:805-981-5160
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2024-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA23064363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU6606Medicare PIN
Q59989Medicare UPIN