Healthcare Provider Details

I. General information

NPI: 1619996105
Provider Name (Legal Business Name): SONIA ELIZABETH ERICKSON DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 W LAS POSITAS BLVD STE 130
PLEASANTON CA
94588-5805
US

IV. Provider business mailing address

5565 W LAS POSITAS BLVD STE 130
PLEASANTON CA
94588-5805
US

V. Phone/Fax

Practice location:
  • Phone: 925-416-0990
  • Fax:
Mailing address:
  • Phone: 925-416-0990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberE4382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: