Individual provider Active NPI

Justin Pendell Aleia, D.O.

  • Psychiatry Physician
  • West Sacramento, CA
National Provider Identifier
1093076622
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS016712 Issued in PA
Practice address
3050 Beacon Blvd Ste 103
West Sacramento, CA 95691-3467
Phone
(916) 462-3100
Fax
(916) 572-0343
NPI assigned
May 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS016712 PA Primary
Psychiatry Physician 2084P0800X OT014822 PA
Psychiatry Physician 2084P0800X 17272 CA

Addresses

Primary practice location

3050 Beacon Blvd Ste 103
West Sacramento, CA 95691-3467

Mailing address

6155 Inverness Ter
Fairview, PA 16415-3279
Phone (304) 646-0833

Other practice location 1

11209 Brockway Rd Ste C306
Truckee, CA 96161-2221
Phone (530) 273-2244

Other practice location 2

6155 Inverness Ter
Fairview, PA 16415-3279
Phone (304) 646-0833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170821000331 PA Practitioner - Psychiatry 9032481445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT014822PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stairways Behavioral Health Psychiatry CurrentSince Jun 21, 2017 Accepting new patients

Locations

2910 State St
Erie, PA 16508
Phone (814) 454-5686

2185 W 8th St
Erie, PA 16505
Phone (814) 464-8311

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1093076622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 INVERNESS TER",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164153279",
            "telephone_number": "304-646-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BEACON BLVD STE 103",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913467",
            "telephone_number": "916-462-3100",
            "fax_number": "916-572-0343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11209 Brockway Rd Ste C306",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961612221",
            "country_code": "US",
            "telephone_number": "530-273-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6155 Inverness Ter",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "PA",
            "postal_code": "164153279",
            "country_code": "US",
            "telephone_number": "304-646-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEIA",
        "first_name": "JUSTIN",
        "middle_name": "PENDELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS016712",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT014822",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "17272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.