Individual provider Active NPI

Robert P Albanese Jr., MD

  • Psychiatry Physician
  • Yountville, CA
National Provider Identifier
1114035169
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G153813 Issued in CA
Practice address
220 California Dr
Yountville, CA 94599-1412
Phone
(707) 944-4660
Fax
(707) 948-2547
NPI assigned
Aug 29, 2006
Last updated
Feb 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G153813 CA
Internal Medicine Physician 207R00000X 0101048811 VA
Psychiatry Physician 2084P0800X 0101048811 VA
Psychiatry Physician 2084P0800X G153813 CA Primary

Addresses

Primary practice location

220 California Dr
Yountville, CA 94599-1412

Mailing address

220 California Dr
Yountville, CA 94599-1412
Phone (208) 422-1000

Other identifiers 2

IdentifierTypeStateIssuer
G153813MedicaidCA
0101048811MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Robert.Albanese@calvet.ca.gov Health Information Exchange (HIE)

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181113002879 CA Practitioner - Psychiatry 4082808928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Brody School of Medicine at East Carolina University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veterans Home of CaliforniaGroup PAC ID 5799683827, 25 clinicians

Practice addresses (Care Compare)

100 California Dr
Yountville, CA 94599-1411
Phone (707) 944-4506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101048811VAMDInternal Medicine Physician
G153813CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Home of California CurrentSince Jun 1, 2020 Accepting new patients
Veterans Home of California Current Accepting new patients
Veterans Home of California CurrentSince Jun 1, 2020 Accepting new patients
Veterans Home of California Barstow Past Accepting new patients

Locations

1227 O St
Rm 402
Sacramento, CA 95814

100 California Dr
Yountville, CA 94599
Phone (707) 944-4506

220 California Dr
Yountville, CA 94599
Phone (707) 944-4382

Interoperability endpoints

  • Direct secure messaging: robert.albanese@calvet.ca.gov

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1114035169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "208-422-1000",
            "fax_number": "208-422-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CALIFORNIA DR",
            "city": "YOUNTVILLE",
            "state": "CA",
            "postal_code": "945991412",
            "telephone_number": "707-944-4660",
            "fax_number": "707-948-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G153813",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101048811",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101048811",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G153813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G153813",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101048811",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Robert.Albanese@calvet.ca.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emai",
            "address_1": "220 California Dr",
            "city": "Yountville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945991412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yountville, CA

Sources for this page

Verify at the official NPI Registry.