Individual provider Active NPI

N. Erick Albert, M.D.

  • Urology Physician
  • Lodi, CA
National Provider Identifier
1215049903
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G23904 Issued in CA
Practice address
830 S Ham LN
Suite 26
Lodi, CA 95242-7510
Phone
(209) 368-6661
Fax
(209) 333-7655
NPI assigned
Aug 31, 2006
Last updated
Oct 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G23904 CA Primary

Addresses

Primary practice location

830 S Ham LN
Suite 26
Lodi, CA 95242-7510

Mailing address

830 S Ham LN
Suite 26
Lodi, CA 95242-7510
Phone (209) 368-6661

Other identifiers 3

IdentifierTypeStateIssuer
019751OtherCAHILL PHYSICIANS
G23904OtherCALICENSE
340004485OtherCARAILROAD MEDICARE

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
I20090205000224 CA Practitioner - Urology 7416933387 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G23904CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2018 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 1, 2018 Accepting new patients
Endoscopy Center of Lodi PastSince Jan 31, 2012 Accepting new patients

Locations

1530 E Chevy Chase Dr
Ste 110
Glendale, CA 91206
Phone (818) 265-5411

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

830 S Ham Ln
Ste 26
Lodi, CA 95242
Phone (209) 368-6661

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1215049903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S HAM LN",
            "address_2": "SUITE 26",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427510",
            "telephone_number": "209-368-6661",
            "fax_number": "209-333-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S HAM LN",
            "address_2": "SUITE 26",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952427510",
            "telephone_number": "209-368-6661",
            "fax_number": "209-333-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "N. ERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G23904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIANS",
            "identifier": "019751",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G23904",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340004485",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.