Provider Demographics
NPI:1306289491
Name:BARRERA, JOSEPH ASENCION (FNP)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ASENCION
Last Name:BARRERA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W LA VETA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4304
Mailing Address - Country:US
Mailing Address - Phone:714-734-6242
Mailing Address - Fax:714-734-6206
Practice Address - Street 1:1000 W LA VETA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4304
Practice Address - Country:US
Practice Address - Phone:714-734-6242
Practice Address - Fax:714-734-6206
Is Sole Proprietor?:No
Enumeration Date:2013-04-09
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP22876363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP22876OtherBOARD OF REGISTERED NURSING
F0313053OtherAMERICAN ACADEMY OF NURSE PRACTIONERS