Provider Demographics
NPI:1891795712
Name:AUKER, TODD A (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:A
Last Name:AUKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 SANTA RITA RD
Mailing Address - Street 2:STE 7
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4152
Mailing Address - Country:US
Mailing Address - Phone:925-931-1090
Mailing Address - Fax:925-931-1091
Practice Address - Street 1:2324 SANTA RITA RD
Practice Address - Street 2:STE 7
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4152
Practice Address - Country:US
Practice Address - Phone:925-931-1090
Practice Address - Fax:925-931-1091
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG057565174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAX67543Medicare UPIN
CAZZZ22133ZMedicare PIN
CAOOG575650Medicare PIN
CAF15469Medicare UPIN