Healthcare Provider Details

I. General information

NPI: 1255241204
Provider Name (Legal Business Name): KAREN ANKROM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 S B ST
OXNARD CA
93030-5806
US

IV. Provider business mailing address

1600 W 5TH ST APT 16C
OXNARD CA
93030-6526
US

V. Phone/Fax

Practice location:
  • Phone: 805-873-0460
  • Fax:
Mailing address:
  • Phone: 805-873-0460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number83330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: