Provider Demographics
NPI:1164585501
Name:BILLON, SHARON FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:FRANCES
Last Name:BILLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93421
Mailing Address - Country:US
Mailing Address - Phone:805-710-5120
Mailing Address - Fax:855-701-1420
Practice Address - Street 1:880 NORTH OAK PARK BLVD
Practice Address - Street 2:UNIT 103
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420
Practice Address - Country:US
Practice Address - Phone:805-474-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG30339207R00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G303390Medicaid
CA00G303390Medicaid
G30339Medicare ID - Type Unspecified