Metty B. Albert, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Milpitas, CA
NPI 1013089838 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1013089838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- A73674 (CA)
- Practice address
- 770 E Calaveras Blvd
Milpitas, CA 95035-5491 - Phone
- (650) 945-2900
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110215001227 | CA | Practitioner - Psychiatry | 6800076365 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73674 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current |
Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients |
Locations
File 55570
Los Angeles, CA 90074
770 E Calaveras Blvd
Milpitas, CA 95035
Phone (408) 945-2645
1800 Harrison St
Fl 7
Oakland, CA 94612
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A73674 | CA | Yes |
Addresses
Primary practice location
770 E Calaveras Blvd
Milpitas, CA 95035-5491
Mailing address
1800 Harrison St FL 7
Oakland, CA 94612-3466
Phone (510) 625-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A736740 | Medicaid | CA |
Other names
- Metty Dominic
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Other providers in Milpitas, CA
- Elizabeth Tadio Agustin
- Anjum Ahmed
- Hawo Hassan Ahmed
- Qasem Al Sawad
- Alan H. Cheung DDS., Inc.
- Shruthy Alex
- Alexander Galang DMD
- Alexander Xu DDS, Inc
- Mayssoun Alhariri
- Alice T Vu OD a Professional Corporation
All providers in Milpitas, CA · Child & Adolescent Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.