Healthcare Provider Details

I. General information

NPI: 1902036957
Provider Name (Legal Business Name): DANA MICHELLE FAW SHEELY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. DANA MICHELLE FAW

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UPPER RAGSDALE DR BLDG A
MONTEREY CA
93940-5736
US

IV. Provider business mailing address

100 WILSON RD STE 100
MONTEREY CA
93940-7885
US

V. Phone/Fax

Practice location:
  • Phone: 831-333-3040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA111871
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: