Provider Demographics
NPI:1447546684
Name:SHEPARD, ANGELICA NANGIT (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:NANGIT
Last Name:SHEPARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGELICA
Other - Middle Name:CATALAN
Other - Last Name:NANGIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5855 OLIVAS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7672
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-667-2865
Practice Address - Street 1:2361 E VINEYARD AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2102
Practice Address - Country:US
Practice Address - Phone:805-981-3770
Practice Address - Fax:805-981-1607
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA130985207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology