Provider Demographics
NPI:1578786000
Name:AURON, ARI (MD)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:AURON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARI
Other - Middle Name:
Other - Last Name:AURON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1600 EUREKA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3027
Mailing Address - Country:US
Mailing Address - Phone:916-474-2250
Mailing Address - Fax:916-474-2311
Practice Address - Street 1:1600 EUREKA RD STE 201
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-474-2250
Practice Address - Fax:916-474-2311
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0438508208000000X, 2080P0210X, 2080P0210X
MO2015036169208000000X, 2080P0210X
CAC1494782080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1578786000Medicaid
IA175150005OtherMEDICARE
IA1578786000Medicaid