Provider Demographics
NPI:1437020062
Name:HAMPTON, JOSHUA ELIJAH
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ELIJAH
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15772 FIRETHORN RD
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-1019
Mailing Address - Country:US
Mailing Address - Phone:213-628-4598
Mailing Address - Fax:
Practice Address - Street 1:15772 FIRETHORN RD
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-1019
Practice Address - Country:US
Practice Address - Phone:213-628-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95372513163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse