Provider Demographics
NPI:1730712134
Name:VALENCIA CERVANTES, JAVIER ESTEFAN (PA-C)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:ESTEFAN
Last Name:VALENCIA CERVANTES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 RUBIO CIR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-0102
Mailing Address - Country:US
Mailing Address - Phone:805-280-6531
Mailing Address - Fax:
Practice Address - Street 1:1266 RUBIO CIR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0102
Practice Address - Country:US
Practice Address - Phone:805-280-6531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant