Healthcare Provider Details

I. General information

NPI: 1578786000
Provider Name (Legal Business Name): ARI AURON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ARI AURON MD

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 EUREKA RD STE 201
ROSEVILLE CA
95661-3027
US

IV. Provider business mailing address

1600 EUREKA RD STE 201
ROSEVILLE CA
95661-3027
US

V. Phone/Fax

Practice location:
  • Phone: 916-474-2250
  • Fax: 916-474-2311
Mailing address:
  • Phone: 916-474-2250
  • Fax: 916-474-2311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0438508
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2015036169
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number0438508
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number2015036169
License Number StateMO
# 5
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License NumberC149478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: