Active NPI
Lemuel Francis Constantino
- Psychiatric/Mental Health Nurse Practitioner
- El Sobrante, CA
National Provider Identifier
1205476801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95040581
- Practice address
- 4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222 - Phone
- (510) 243-2360
- NPI assigned
- Jan 10, 2020
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95212087 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95040581 | CA | Primary |
Addresses
Primary practice location
4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222
Mailing address
4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222
Phone (510) 836-9567
Other practice location 1
2455 Bennett Valley Rd Ste B209
Santa Rosa, CA 95404-5669
Phone (707) 224-8266
Other practice location 2
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone (707) 224-8266
Other practice location 3
2310 1st St
Napa, CA 94559-2239
Phone (707) 224-8266
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 |
|---|---|---|---|
| 95212087 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aldea Inc | Past | Accepting new patients | |
| Aldea, Inc | Past | Accepting new patients | |
| Aldea, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1023419652
-
- Community/Behavioral Health Agency
- Fairfield, CA
- NPI 1972897346
-
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1912780420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1205476801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4892 SAN PABLO DAM RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948033222",
"telephone_number": "510-836-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4892 SAN PABLO DAM RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948033222",
"telephone_number": "510-243-2360"
}
],
"practiceLocations": [
{
"address_1": "2455 Bennett Valley Rd Ste B209",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954045669",
"country_code": "US",
"telephone_number": "707-224-8266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4820 Business Center Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945341696",
"country_code": "US",
"telephone_number": "707-224-8266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2310 1st St",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945592239",
"country_code": "US",
"telephone_number": "707-224-8266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONSTANTINO",
"first_name": "LEMUEL",
"middle_name": "FRANCIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-10",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95212087",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95040581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Sobrante, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.