Provider Demographics
NPI:1427428010
Name:MAPES, DAVID JOEL (PA-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JOEL
Last Name:MAPES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2625 E DIVISADERO ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93721-1431
Mailing Address - Country:US
Mailing Address - Phone:559-443-2682
Mailing Address - Fax:559-443-2681
Practice Address - Street 1:2335 E KASHIAN LN STE 410
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2234
Practice Address - Country:US
Practice Address - Phone:559-266-4100
Practice Address - Fax:559-266-4199
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2022-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA52822363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant