Provider Demographics
NPI:1124286893
Name:OSANI, STEVE (PA-C, FAAPA)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:
Last Name:OSANI
Suffix:
Gender:M
Credentials:PA-C, FAAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 S MILLER ST STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6915
Mailing Address - Country:US
Mailing Address - Phone:805-354-0738
Mailing Address - Fax:805-687-8377
Practice Address - Street 1:1414 S MILLER ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6915
Practice Address - Country:US
Practice Address - Phone:805-354-0738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005100-1363AM0700X
CAPA53217363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical