Active NPI
Alecia Lentz, DO
- Family Medicine Physician
- Fairfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A22972
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241226001698 | CA | Order and Referring Only - Family Practice | 1557783289 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.22 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13448 | AZ | MD | Mental Health Counselor |
| 20A22972 | CA | MD | Family Medicine Physician |
| 641841 | NJ | MD | Cardiovascular-Interventional Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Club Staffing | Past | Accepting new patients | |
| Western University of Health Sciences | Past | Accepting new patients | |
| Club Staffing | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1568652972
-
- Long Term Care Hospital
- Fredericksburg, VA
- NPI 1952509788
-
- Adult Medicine Physician
- Lebanon, OR
- NPI 1639555170
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.