OrganizationActive
Eidelson MD LLC
NPI 1245011907 · General Practice Physician · Elk Grove, CA
Eidelson MD LLC is a General Practice Physician organization in Elk Grove, CA (NPI 1245011907).
Provider details
- NPI number
- 1245011907
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joel Eidelson, Owner(805) 453-9178
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9765 Caneria Way
Elk Grove, CA 95757-6225
Phone: (805) 453-9178
Street-level locationGet directions
Mailing address
9765 Caneria Way
Elk Grove, CA 95757-6225
Registry dates
- Enumerated
- 2023-10-09
- Last updated
- 2023-10-09
- Certified
- 2023-10-09
Frequently asked questions
- What is Eidelson MD LLC's NPI number?
- Eidelson MD LLC's National Provider Identifier (NPI) is 1245011907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eidelson MD LLC?
- Eidelson MD LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Eidelson MD LLC located?
- Eidelson MD LLC's practice location on file with NPPES is 9765 Caneria Way, Elk Grove, CA 95757-6225.
- What is Eidelson MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Eidelson MD LLC is (805) 453-9178.
- Who is the authorized official for Eidelson MD LLC?
- The authorized official listed on Eidelson MD LLC's NPPES record is Joel Eidelson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eidelson MD LLC's NPI active?
- Yes — Eidelson MD LLC's NPI (1245011907) is active in the NPPES registry as of the last update on 2023-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.