Organization Active NPI

James F Yusuf Q Erskine DO Inc

  • Neuromusculoskeletal Medicine & OMM Physician
  • Sebastopol, CA
National Provider Identifier
1972261709
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
JAMES F YUSUF Q ERSKINE DO INC
Practice address
506 S Main St
Sebastopol, CA 95472-4261
Phone
(707) 486-9376
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

Name
James F. Yusuf Q. Erskine, DONPI 1134122690
Title
President
Phone
(707) 829-5455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

506 S Main St
Sebastopol, CA 95472-4261

Mailing address

506 S Main St
Sebastopol, CA 95472-4261
Phone (707) 486-9376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209001223 CA Part B Supplier - Clinic/Group Practice 8921498767 Receives reassigned benefits from 1 practitioner
Practice locations: Sebastopol, CA

National Provider Directory

National Provider Directory

Locations

506 S Main St
Sebastopol, CA 95472
Phone (707) 829-5455

1010 Nut Tree Rd
Ste 100B
Vacaville, CA 95687
Phone (707) 646-7999

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1972261709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724261",
            "telephone_number": "707-486-9376",
            "fax_number": "707-824-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S MAIN ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724261",
            "telephone_number": "707-486-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F YUSUF Q ERSKINE DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "ERSKINE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F. YUSUF Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-829-5455",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.