DR. RANDOLPH TERRY WRIGHT


Address: 501 S Shore Ctr W Ste 103e, Alameda, CA 94501-5762
Phone: 5105210441

DR. RANDOLPH TERRY WRIGHT (NPI# 1053335802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053335802
Entity Type Individual
Full Name DR. RANDOLPH TERRY WRIGHT
Credential D.P.M.
Practice Address 501 S Shore Ctr W Ste 103e
Alameda
CA 94501-5762
Practice Telephone 5105210441
Practice Fax Number 5105217473
Mailing Telephone 5105210441
Mailing Fax Number 5105217473
Enumeration Date 2006-07-26
Last Update Date 2020-10-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
E23220 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 000E23220 05

Office Location

Street Address 501 S SHORE CTR W STE 103E
City ALAMEDA
State CA
Zip Code 94501-5762

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1356987010 Guadalupe H Hernandez Technician 3650 Mount Diablo Blvd, Layayette, CA 94501 2019-11-18
1952951832 Lily T Nguyen Behavior Technician 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 2019-09-12
1326503004 Mary Macpherson Speech-Language Pathologist 2308 Central Ave., Alameda, CA 94501 2019-02-06
1285103838 Stephanie Owens Behavioral Analyst 2213 Clinton Ave #a, Alameda, CA 94501 2018-11-13
1508349390 Cindy Cabrera Behavioral Analyst 1025 Atlantic Ave Suite 101, Alameda, CA 94501 2018-09-08
1629554928 Anita Elizabeth Bower Behavioral Analyst 125 Atlantic Ave Suite 101, Alameda, CA 94501 2018-07-19
1659862571 Mariana Rocio Pacas Mexicano Behavioral Analyst 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 2018-05-26
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1760017438 Karen Romines Podiatry Incorporated Podiatrist 10100 Fair Oaks Blvd Ste A, Fair Oaks, CA 95628-7154 2020-03-03
1033759709 Igal Palma Podiatrist 2987 Grant St, Concord, CA 94520-4640 2020-01-10
1376013730 Fatah Paramole Dpm LLC Podiatrist 561 N Alta Ave Ste A, Dinuba, CA 93618-3200 2018-11-28
1053893347 Sacramento Foot and Ankle Center, Inc. Podiatrist 5030 J St Ste 300, Sacramento, CA 95819 2018-09-04
1669988655 Happy Feet Podiatry P.C. Podiatrist 601 E Yorba Linda Blvd Ste 6, Placentia, CA 92870-3006 2017-12-28
1023549987 Carl Christenson, Dpm Podiatrist 7687 N 9th St, Fresno, CA 93720-2629 2017-03-22
1598203788 Bermar Group Inc Podiatrist 7952 Genesta Ave, Lake Balboa, CA 91406-1624 2017-02-07
1063871234 Gregory W Herb Podiatrist 195 Blossom Hill Rd Lot 148, San Jose, CA 95123-2349 2016-02-17
1053791509 Grandy Podiatry Group Podiatrist 730 46th St, Sacramento, CA 95819-3149 2015-05-30
1801201389 Alycia Chen Podiatrist 305 South Dr Ste 6, Mountain View, CA 94040-4207 2014-06-24
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Competitor

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City ALAMEDA
Zip Code 94501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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