Healthcare Provider Details

I. General information

NPI: 1447546684
Provider Name (Legal Business Name): ANGELICA NANGIT SHEPARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELICA CATALAN NANGIT MD

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2361 E VINEYARD AVE
OXNARD CA
93036-2102
US

IV. Provider business mailing address

5855 OLIVAS PARK DR
VENTURA CA
93003-7672
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-3770
  • Fax: 805-981-1607
Mailing address:
  • Phone: 805-667-2801
  • Fax: 805-667-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA130985
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: