Provider Demographics
NPI:1548313877
Name:STERLING, ERIC (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:STERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2449 SUMMERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7815
Mailing Address - Country:US
Mailing Address - Phone:707-523-7222
Mailing Address - Fax:707-578-6840
Practice Address - Street 1:3116 W MARCH LN
Practice Address - Street 2:STE 200
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-2369
Practice Address - Country:US
Practice Address - Phone:209-473-6555
Practice Address - Fax:209-473-6543
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66539207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G665390OtherMEDI-CAL #
CAG66539OtherMD LICENSE
F12003Medicare UPIN
CA00G665390OtherMEDI-CAL #