Individual provider Active NPI

Norbert Ralph, PHD

  • Clinical Neuropsychologist
  • San Leandro, CA
National Provider Identifier
1083672877
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY5907 Issued in CA
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

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PSY059070MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000175 CA Practitioner - Clinical Psychologist 6204993777 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA; San Leandro, CA

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

LicenseStateTypeSpecialty
PSY5907CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Leoniak D.O., Inc Past Accepting new patients
Clayton K Casey MD Inc a Professional Medical Corporation PastSince May 1, 2022 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.

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.

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

Verify at the official NPI Registry.