Provider Demographics
NPI:1134122690
Name:ERSKINE, JAMES F YUSUF Q (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F YUSUF Q
Last Name:ERSKINE
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 1:1346 HIGH SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-2621
Mailing Address - Country:US
Mailing Address - Phone:707-829-5455
Mailing Address - Fax:707-824-9235
Practice Address - Street 1:1346 HIGH SCHOOL RD
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-2621
Practice Address - Country:US
Practice Address - Phone:707-824-8683
Practice Address - Fax:707-824-9235
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5942207Q00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX59420Medicaid
CA00AX59420Medicaid
020A59420Medicare PIN