Individual provider Active NPI

Leonard Joshua Alderette, FNP-C

  • Family Nurse Practitioner
  • Auburn, CA
National Provider Identifier
1013789106
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027694 Issued in CA
Practice address
11969 Heritage Oak PL
Auburn, CA 95603-2461
Phone
(530) 878-5950
NPI assigned
Oct 23, 2023
Last updated
Dec 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027694 CA Primary

Addresses

Primary practice location

11969 Heritage Oak PL
Auburn, CA 95603-2461

Mailing address

11969 Heritage Oak PL
Auburn, CA 95603-2461
Phone (530) 878-5950

Other practice location 1

8056 Ryan Taylor Way
Roseville, CA 95747-6701
Phone (530) 240-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327001593 CA Practitioner - Nurse Practitioner 2961849815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Nephrology Medical Group, Inc.Group PAC ID 9638107733, 10 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 1202
Roseville, CA 95661-2932
Phone (916) 789-1505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Nephrology Medical Group, Inc Single Specialty CurrentSince Feb 23, 2025 Accepting new patients

Locations

11969 Heritage Oak Pl
Auburn, CA 95603
Phone (530) 878-5950

151 N Sunrise Ave
Ste 1202
Roseville, CA 95661
Phone (916) 789-1505

Interoperability endpoints

  • Direct secure messaging: lalderette446507@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1013789106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11969 HERITAGE OAK PL",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-878-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11969 HERITAGE OAK PL",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032461",
            "telephone_number": "530-878-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8056 Ryan Taylor Way",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "957476701",
            "country_code": "US",
            "telephone_number": "530-240-5445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERETTE",
        "first_name": "LEONARD",
        "middle_name": "JOSHUA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.