Eddy Y Joelson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A88273 Issued in CA

Practice address

8260 Longleaf Dr BLDG C
Elk Grove, CA 95758-1322

Phone

(916) 691-9827

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Sockolov & Sockolov a Professional Corporation

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1205875663
  Medicare reassignment

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1043294580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588500",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588500",
            "telephone_number": "916-691-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 LONGLEAF DR BLDG C",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957581322",
            "telephone_number": "916-691-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOELSON",
        "first_name": "EDDY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A88273",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiomara Jimenez Rivera
• Leidy M Jimenez
• Lorena Jimenez
• Sol Alondra G. Jimenez
• Seajal Jivan, PHARMD
• Johal and Ghazal Dental Corporation
• Inaksh Johal, DDS
• Taranjit Johl
• John J Eliopulos O.D. Inc
• Charlotte Johnson

• Internal Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.