Physician Compare National (NPI:1083672877)

HEALTHCARE PROVIDER: NORBERT RALPH PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083672877
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204993777
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090327000175
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RALPH
	Individual professional last name
Provider First Name	NORBERT
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	519 ESTUDILLO AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE N
	Group Practice or individual's line 2 address
City	SAN LEANDRO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945774600
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5103101905
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y