Healthcare Provider Details

I. General information

NPI: 1598343287
Provider Name (Legal Business Name): ELIZABETH ANN FRANCK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 TELEGRAPH RD
VENTURA CA
93003-4113
US

IV. Provider business mailing address

2814 COLLEGE AVE APT 3
BERKELEY CA
94705-2139
US

V. Phone/Fax

Practice location:
  • Phone: 805-765-6495
  • Fax:
Mailing address:
  • Phone: 831-239-6406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA59386
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: