Active NPI
David Jay Albertson, R.A.S CADC II
- Community Health Worker
- Grass Valley, CA
National Provider Identifier
1053531392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 900 E Main St
Grass Valley, CA 95945-5853 - Phone
- (530) 273-2244
- NPI assigned
- Apr 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-QFKVXW | CA | |
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
900 E Main St
Grass Valley, CA 95945-5853
Mailing address
16198 Brooks Rd
Grass Valley, CA 95945-4314
Phone (530) 559-0979
Other names 1
- Mr. David Sam Albertson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-QFKVXW | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Respite Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Respite Care
- Grass Valley, CA
- NPI 1578075552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1053531392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16198 BROOKS RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959454314",
"telephone_number": "530-559-0979",
"fax_number": "530-559-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MAIN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455853",
"telephone_number": "530-273-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERTSON",
"first_name": "DAVID",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "R.A.S CADC II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-QFKVXW",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "ALBERTSON",
"middle_name": "SAM",
"prefix": "MR.",
"credential": "MPSS-QFKVXW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.