Jon Alan Erickson, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G568790 Issued in CA

Practice address

3257 Professional Dr
Suite B
Auburn, CA 95602-2460

Phone

(530) 823-6363

Fax

(530) 823-6388

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jon a. Erickson, MD, Inc.

  • Specialist
  • Auburn, CA
  • NPI 1144553769
  Medicare reassignment NPD Authorized official
• Jon a. Erickson, MD

  • Specialist
  • Auburn, CA
  • NPI 1235463837
  NPD (past) Authorized official
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1831162205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 PROFESSIONAL DR",
            "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": "3257 PROFESSIONAL DR",
            "address_2": "SUITE B",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022460",
            "telephone_number": "530-823-6363",
            "fax_number": "530-823-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G568790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Engberg
• Larry Engle, RADT-1
• Nicole Epps
• Monica Erdosh, LCSW
• Eric S. Muff, D.D.S., a Professional Dental Corporation
• Erik M. Matson, DMD, Inc.
• Frank Paul Esquivel Jr.
• Yesenia Estrada
• Tasauna Euwing, LMFT
• Dana Kay Evans

• 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 Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.