Andre Albason
Individual provider Active NPI Nursing Home Administrator · Elk Grove, CA
NPI 1538022280 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1538022280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Home Administrator 376G00000X
- License
- 342701631 (CA)
- Practice address
- 10167 Mosaic Way
Elk Grove, CA 95757-5961 - Phone
- (916) 897-6912
- NPI assigned
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342701631 | CA | MD | Nursing Home Administrator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 342701631 | CA | Yes |
Addresses
Primary practice location
10167 Mosaic Way
Elk Grove, CA 95757-5961
Mailing address
10167 Mosaic Way
Elk Grove, CA 95757-5961
Phone (916) 897-6912
Other providers in Elk Grove, CA
- Abdullah Al Tekreeti
- Sarah Alafranji
- Pedro Rodriguez Alarcon
- Mohamed Ramadan Alassuty
- Khawlah Alaudi
- Jun Jun Capote Albason
- Vicky Albaugh
- Albik Dental Inc
- Emily Albusche
- William Alcala
All providers in Elk Grove, CA · Nursing Home Administrator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.