Provider Demographics
NPI:1568697555
Name:RICART, ERIN (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:RICART
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 1:577 2ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-1459
Mailing Address - Country:US
Mailing Address - Phone:415-237-1378
Mailing Address - Fax:
Practice Address - Street 1:41 WALLER ST UNIT 310
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6285
Practice Address - Country:US
Practice Address - Phone:415-237-1378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2019-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY12361C207P00000X
MN66299207P00000X
MI4301119352207P00000X
NJ25MA09284200207P00000X
OH35.136709207P00000X
NY300172207P00000X
TN59554207P00000X
WI548320207P00000X
PAMD444802207P00000X
SC83211207P00000X
COCDR.0000479207P00000X
AL38679207P00000X
IN01083077A207P00000X
AK149700207P00000X
IL036.146594207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA310348GHVMedicare PIN