Provider Demographics
NPI:1962743369
Name:FISCHER, JOSHUA JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMES
Last Name:FISCHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 CARMELITO AVE
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4502
Mailing Address - Country:US
Mailing Address - Phone:831-920-3838
Mailing Address - Fax:831-222-1004
Practice Address - Street 1:820 BAY AVE STE 109
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-2166
Practice Address - Country:US
Practice Address - Phone:831-920-3838
Practice Address - Fax:831-222-1004
Is Sole Proprietor?:No
Enumeration Date:2013-03-09
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A15539204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM