Healthcare Provider Details

I. General information

NPI: 1609431964
Provider Name (Legal Business Name): ANA ANAHIT EMIRZIAN DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 W GONZALES RD STE 260
OXNARD CA
93036-0729
US

IV. Provider business mailing address

3160 TELEGRAPH RD STE 207
VENTURA CA
93003-3256
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-0222
  • Fax:
Mailing address:
  • Phone: 805-485-6708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5821
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: