Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOEL EIDELSON
NPI 1457768566
General Practice in Stockton, CA

Q: 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.

Q: What is Joel Eidelson's specialty?

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

Q: 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 25 days 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.

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: September 13, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 14

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