Healthcare Provider Details

I. General information

NPI: 1043472970
Provider Name (Legal Business Name): SHANI FRANCIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2008
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2438 N PONDEROSA DR STE C105
CAMARILLO CA
93010-2465
US

IV. Provider business mailing address

1555 SHERMAN AVE STE 323
EVANSTON IL
60201-4421
US

V. Phone/Fax

Practice location:
  • Phone: 805-388-2068
  • Fax: 805-484-7700
Mailing address:
  • Phone: 877-368-4270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036.127511
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC150098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: