Provider Demographics
NPI:1457486060
Name:SHERMAN, ADAM B (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:B
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 N VENTURA RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4807
Mailing Address - Country:US
Mailing Address - Phone:805-487-7000
Mailing Address - Fax:805-487-7676
Practice Address - Street 1:532 N VENTURA RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4807
Practice Address - Country:US
Practice Address - Phone:805-487-7000
Practice Address - Fax:805-487-7676
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX73180Medicaid
CA00AX73180Medicaid
H21430Medicare UPIN
CAP00225077Medicare ID - Type UnspecifiedRAILROAD MEDICARE