Active NPI
Norbert Ralph, PHD
- Clinical Neuropsychologist
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY5907
- Practice address
- 1057 Macarthur Blvd Ste 212
San Leandro, CA 94577-3000 - Phone
- (209) 575-4575
- Fax
- (209) 575-4598
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY5907 | CA | Primary |
Addresses
Primary practice location
1057 Macarthur Blvd Ste 212
San Leandro, CA 94577-3000
Mailing address
PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575
Other practice location 1
5311 Pirrone Rd
Salida, CA 95368-9089
Phone (209) 575-4575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY059070 | Medicaid | CA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1600 Sunrise Ave
7B
Modesto, CA 95350-4679
Phone (209) 575-4575
519 Estudillo Ave
Suite N
San Leandro, CA 94577-4600
Phone (510) 310-1905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5907 | CA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Leoniak D.O., Inc | Past | Accepting new patients | |
| Clayton K Casey MD Inc a Professional Medical Corporation | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- San Francisco, CA
- NPI 1104055029
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Modesto, CA
- NPI 1417613951
-
- Infectious Disease Physician
- Turlock, CA
- NPI 1235510710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1083672877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4978",
"city": "MODESTO",
"state": "CA",
"postal_code": "953524978",
"telephone_number": "209-575-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 MACARTHUR BLVD STE 212",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773000",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598"
}
],
"practiceLocations": [
{
"address_1": "5311 Pirrone Rd",
"address_purpose": "LOCATION",
"city": "Salida",
"state": "CA",
"postal_code": "953689089",
"country_code": "US",
"telephone_number": "209-575-4575",
"fax_number": "209-575-4598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RALPH",
"first_name": "NORBERT",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY5907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PSY059070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.