Healthcare Provider Details

I. General information

NPI: 1619937984
Provider Name (Legal Business Name): ERIK DWIGHT STICKNEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 ESPLANADE
CHICO CA
95926-3315
US

IV. Provider business mailing address

10745 DOUBLE R BLVD
RENO NV
89521-8979
US

V. Phone/Fax

Practice location:
  • Phone: 530-691-5920
  • Fax: 530-691-5922
Mailing address:
  • Phone: 775-850-6505
  • Fax: 775-850-6504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA75059
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberA75059
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: