1. Home
  2. Directory
  3. California
  4. Stockton
  5. General Practice
  6. NPI Profile

JOEL EIDELSON
NPI 1457768566
General Practice in Stockton, CA

Active since July 21, 2014PECOS Enrolled
582 E HARDING WAY, STOCKTON, CA 95204(209) 819-7178(844) 226-9193 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Jul 21, 2022, Oct 24, 2018 and 3 more (6 updates tracked since 2017).

About Joel Eidelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOEL EIDELSON (NPI 1457768566) is an individual general practice provider in Stockton, California, licensed in California (A145569) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457768566
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOEL EIDELSON
Location Address582 E HARDING WAYStockton, CA 95204-6110
Mailing Address582 E Harding WayStockton, CA 95204-6110 · (209) 819-7178 · Fax (844) 226-9193
Phone(209) 819-7178
Fax(844) 226-9193
Sole ProprietorNo
Enumeration DateJuly 21, 2014
Last NPPES UpdateAugust 26, 20266 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1457768566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A145569
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
582 E HARDING WAY, Stockton, CA 95204
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel Eidelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Joel Eidelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Sierra Medical Clinic, Inc.
89 mi
Federally Qualified Health Center (FQHC)
844 OLD TUNNEL RD
Grass Valley, CA 95945
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
NPI 1063496396 (530) 273-4984

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
1 supplier17 claims49 services$5.54 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers33 claims35 services$214.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAGDISH SINGH NIJJAR FNP-C
Nurse Practitioner
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (844) 226-9193
DR. USMAN M ALI M.D.
Internal Medicine
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (888) 530-4415
MAYA JUSTINA-ELIA RAMIREZ MSW
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 226-3325
ROSALIA RAVELO OTR
Occupational Therapist
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (888) 530-4415
MRS. JAMIE MARINA FLORES LCSW
Social Worker (Clinical)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 932-0357
ALYSSA ABREU PHD, RD
Dietitian, Registered
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (209) 326-0713
SAJJAD BIDAR
Physician Assistant
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (925) 325-2028
JESSICA MOUA NP
Nurse Practitioner (Family)
582 E HARDING WAY
STOCKTON, CA 95204
San Joaquin County (888) 530-4415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joel Eidelson's NPI number?

The NPI number for Joel Eidelson is 1457768566. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Joel Eidelson located?

Joel Eidelson practices at 582 E Harding Way, Stockton, CA 95204. The listed phone number is (209) 819-7178.

What is Joel Eidelson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joel Eidelson enrolled in Medicare?

Yes. Joel Eidelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joel Eidelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Eidelson reassigns Medicare benefits to Western Sierra Medical Clinic, Inc. (Grass Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joel Eidelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Joel Eidelson was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.