Healthcare Provider Details

I. General information

NPI: 1104355643
Provider Name (Legal Business Name): ERIN BARONI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 11/01/2024
Certification Date: 11/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 FOLSOM BLVD STE 2500
SACRAMENTO CA
95816-5267
US

IV. Provider business mailing address

3160 FOLSOM BLVD STE 2500
SACRAMENTO CA
95816-5267
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-7777
  • Fax:
Mailing address:
  • Phone: 916-734-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number173100
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA173100
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: