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NPI Code Detail

MEDICARE: ANNA BARFOD LIDOFSKY MD

MEDICARE: ANNA BARFOD LIDOFSKY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA179446CA
2208M00000XHospitalist PhysicianA179446CA

General Provider Information

NPI Number : 1063049740
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA BARFOD LIDOFSKY MD
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number : 800-470-0071
Fax Number : 916-854-6769
Provider Business Practice Location Address
First Line : 11815 EDUCATION ST
Second Line :
City : AUBURN
State : CA
Zip : 95602-2410
Country : US
Telephone Number : 916-733-3777
Fax Number : 916-454-6780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2020
Last Update Date : 01/30/2026

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Directions to “ ANNA BARFOD LIDOFSKY MD” Practice Location

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