MEDICARE: JAMES F. YUSUF Q. ERSKINE D.O.

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
1	207Q00000X	Family Medicine Physician	20A5942	CA
2	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	20A5942	CA

General Provider Information

NPI Number	:	1134122690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES F. YUSUF Q. ERSKINE D.O.

Provider Business Mailing Address
First Line	:	1346 HIGH SCHOOL RD
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-2621
Country	:	US
Telephone Number	:	707-829-5455
Fax Number	:	707-824-9235

Provider Business Practice Location Address
First Line	:	1346 HIGH SCHOOL RD
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-2621
Country	:	US
Telephone Number	:	707-824-8683
Fax Number	:	707-824-9235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	07/14/2023

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