Jon a. Erickson, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

00G568790 Issued in CA

Legal business name

JON A. ERICKSON, MD

Practice address

3238 Professional Drive Suite B
Auburn, CA 95602-2460

Phone

(530) 823-6363

Fax

(530) 823-6388

NPI assigned

Sep 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon A Erickson, M.D.NPI 1831162205

Title

President

Phone

(530) 823-6363

Specialties & licenses 1

Addresses

Tax ID family

Jon a Erickson MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jon a. Erickson, MD, Inc.

  • Specialist
  • Auburn, CA
  • NPI 1144553769
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Alan Erickson, M.D.

  • Specialist
  • Auburn, CA
  • NPI 1831162205
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1235463837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 PROFESSIONAL DRIVE",
            "address_2": "SUITE B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022460",
            "telephone_number": "530-823-6363",
            "fax_number": "530-823-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PROFESSIONAL DRIVE SUITE B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022460",
            "telephone_number": "530-823-6363",
            "fax_number": "530-823-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A. ERICKSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-823-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00G568790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Renee Johnson, LMFT
• Michelle M Johnson, MSW
• Therese Marie Johnson, CEO
• Chelsea Johnstone
• Nicole M Jolly
• Jon a. Erickson, MD, Inc.
• Jeffrey Craig Jones, D. D.S.
• Kenneth Michael Jones, M.ED & ED.S.
• Megan Dianne Jones
• Jordan a. Hamilton,PHD, Inc

• Specialist in Auburn, CA
• Providers in Auburn, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.