Provider Demographics
NPI:1083788970
Name:BARKER-SIMONSEN, ERIC MICHAEL
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:MICHAEL
Last Name:BARKER-SIMONSEN
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:ERIC
Other - Middle Name:MICHAEL
Other - Last Name:BARKER-COSPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 ALAMEDA DEL PRADO STE 103
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94949-6698
Mailing Address - Country:US
Mailing Address - Phone:415-457-6964
Mailing Address - Fax:
Practice Address - Street 1:1100 LINCOLN AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-4908
Practice Address - Country:US
Practice Address - Phone:707-253-2528
Practice Address - Fax:707-253-7269
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner