Healthcare Provider Details

I. General information

NPI: 1265353049
Provider Name (Legal Business Name): AMANDA ERIN SILVERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 S K ST
OXNARD CA
93030-5212
US

IV. Provider business mailing address

375 S K ST
OXNARD CA
93030-5212
US

V. Phone/Fax

Practice location:
  • Phone: 562-449-7298
  • Fax:
Mailing address:
  • Phone: 562-449-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: