Individual provider Active NPI

Alecia Lentz, DO

  • Family Medicine Physician
  • Fairfield, CA
National Provider Identifier
1285832121
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A22972 Issued in CA
Practice address
275 Beck Ave # Ms 5-215
Fairfield, CA 94533-6804
Phone
(707) 784-2010
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3548 ME
Cardiovascular-Interventional Technology Radiologic Technologist 2471C1101X 641841 NJ
Cardiovascular-Interventional Technology Radiologic Technologist 2471C1101X 13448 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 20A22972 CA Primary

Addresses

Primary practice location

275 Beck Ave # Ms 5-215
Fairfield, CA 94533-6804

Mailing address

1310 Club Drive
Admin & Faculty 1-Room 224
Vallejo, CA 94592
Phone (724) 396-3745

Other practice location 1

6 E Chestnut St
Augusta, ME 04330-5758
Phone (207) 623-6560

Other practice location 2

200 Mullins Dr
Lebanon, OR 97355-3983
Phone (541) 259-0200

Other practice location 3

5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-7200

Other practice location 4

5901 Broken Sound Pkwy NW
Suite 500
Boca Raton, FL 33487-2773
Phone (800) 875-8999

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
I20241226001698 CA Order and Referring Only - Family PracticePractitioner - Family Practice 1557783289

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
75.39
Promoting interoperability
84
Improvement activities
40
Cost
75.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13448AZMDMental Health Counselor
20A22972CAMDFamily Medicine Physician
641841NJMDCardiovascular-Interventional Technology Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Club Staffing Past Accepting new patients
Western University of Health Sciences Past Accepting new patients
Club Staffing Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alentz754932@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1285832121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DRIVE",
            "address_2": "ADMIN & FACULTY 1-ROOM 224",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "724-396-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BECK AVE # MS 5-215",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305758",
            "country_code": "US",
            "telephone_number": "207-623-6560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Mullins Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553983",
            "country_code": "US",
            "telephone_number": "541-259-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Byron Center Ave SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495199606",
            "country_code": "US",
            "telephone_number": "616-252-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Broken Sound Pkwy NW",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334872773",
            "country_code": "US",
            "telephone_number": "800-875-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "ALECIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO3548",
            "primary": false
        },
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "NJ",
            "license": "641841",
            "primary": false
        },
        {
            "code": "2471C1101X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiovascular-Interventional Technology",
            "state": "AZ",
            "license": "13448",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.