Healthcare Provider Details

I. General information

NPI: 1447601760
Provider Name (Legal Business Name): CATHERINE SHEA D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N ASHWOOD AVE
VENTURA CA
93003-1810
US

IV. Provider business mailing address

120 N ASHWOOD AVE
VENTURA CA
93003-1810
US

V. Phone/Fax

Practice location:
  • Phone: 805-948-6353
  • Fax:
Mailing address:
  • Phone: 805-948-6353
  • Fax: 914-457-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number306111
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number20A24104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: