Healthcare Provider Details

I. General information

NPI: 1013715028
Provider Name (Legal Business Name): DANIELLE ASHLEY SHERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE ASHLEY ABRAMS

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W JANSS RD
THOUSAND OAKS CA
91360-1847
US

IV. Provider business mailing address

215 W JANSS RD
THOUSAND OAKS CA
91360-1847
US

V. Phone/Fax

Practice location:
  • Phone: 805-497-2727
  • Fax:
Mailing address:
  • Phone: 805-497-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA66843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: