Provider Demographics
NPI:1194873844
Name:ESKRIDGE, JAMES D (NP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:ESKRIDGE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTER POINT INC
Mailing Address - Street 2:1601 2ND ST. STE#108
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94949
Mailing Address - Country:US
Mailing Address - Phone:415-456-6655
Mailing Address - Fax:415-456-0331
Practice Address - Street 1:1601 2ND ST STE 104
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-2701
Practice Address - Country:US
Practice Address - Phone:415-456-6655
Practice Address - Fax:415-456-0331
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN328302163WC1500X
CANPF5577363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
984757OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
984757OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER