Healthcare Provider Details

I. General information

NPI: 1477744480
Provider Name (Legal Business Name): ALISON W SHUMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALISON WEEMS CERESNAK MD

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 10/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 SAVIERS RD
OXNARD CA
93033-5314
US

IV. Provider business mailing address

5855 OLIVAS PARK DR # DT
VENTURA CA
93003-7672
US

V. Phone/Fax

Practice location:
  • Phone: 805-481-5855
  • Fax: 805-487-5589
Mailing address:
  • Phone: 805-667-2801
  • Fax: 805-667-2865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number236246
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA101333
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA101333
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: