DR. ANDREW LEE RALSTON (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1295793404

DR. ANDREW LEE RALSTON (M.D.) is a healthcare provider. based in Seal beach, California. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. A41078 (CA). The NPI Number for DR. ANDREW LEE RALSTON (M.D.) is 1295793404

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW LEE RALSTON (M.D.)
NPI
1295793404
Phone
(562) 431-1069
Address
644 BEACHCOMBER DR
Enumeration Date
4 May 2006
Last Update Date
27 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5308424121
Graduation Year
1982 (44 years ago)
PAC ID
7719902303
Group Practice PAC ID
1254223134
Professional Enrollment ID
I20051012001067
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ANDREW LEE RALSTON (M.D.)

  • 644, Beachcomber Drive, Seal Beach, Orange County, California, 90740, United States

    SEAL BEACH, CA 907405732

    Phone: (562) 431-1069

    Type: Mailing

  • Atlantic Avenue, Long Beach, Los Angeles County, California, 90805, United States

    LONG BEACH, CA 908062710

    Phone: (562) 426-3333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051012001067IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90740)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254223134View full group profile
NameSpecialtyState
Internal MedicineCA
Family Practice, Obstetrics/GynecologyCA
Registered Dietitian Or Nutrition ProfessionalCA
Family PracticeNY
-CA
E N D O C R I N O L O G YGA
Internal MedicineCA
-CA
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How is DR. ANDREW LEE RALSTON (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ANDREW LEE RALSTON (M.D.) with NPI 1295793404.
Is DR. ANDREW LEE RALSTON (M.D.) still practicing?
DR. ANDREW LEE RALSTON (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ANDREW LEE RALSTON (M.D.)?
For research purposes, treat DR. ANDREW LEE RALSTON (M.D.) as Geriatric Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. ANDREW LEE RALSTON (M.D.) serve?
DR. ANDREW LEE RALSTON (M.D.)'s listing highlights Seal Beach, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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