RANDALL S WILLIAMS (NPI# 1245261114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245261114 |
| Entity Type | Individual |
| Full Name | RANDALL S WILLIAMS |
| Credential | MD |
| Practice Address |
1040 Mangrove Ave Chico CA 95926-3509 |
| Practice Telephone | 5303450064 |
| Practice Fax Number | 5303450080 |
| Mailing Telephone | 5303450064 |
| Mailing Fax Number | 5303450080 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G068885 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G688850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1669521605 | Randall Williams | Chiropractor | 3000 Ivanrest Ave Sw, Suite D, Grandville, MI 49418-2943 | 2007-01-09 |
| 1194365585 | Randall Blake Williams | Nurse Practitioner | 3111 Mccann Rd, Longview, TX 75605-7842 | 2020-01-14 |
| 1528505864 | Randall Williams | Emergency Medical Technician, Basic | Madigan Army Medical Ctr, 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2017-01-25 |
| 1013380013 | Randall Williams | Physician Assistant | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | 2015-11-12 |
| 1649653171 | Randall Williams | Community Health Worker | 1825 Gilmore Ave, Lakeland, FL 33805-3017 | 2015-07-01 |
| 1700950516 | Randall Edward Williams | Dentist | 800 Wall St, Suite C, Valparaiso, IN 46383-2564 | 2006-11-20 |
| 1518076660 | Randall P Williams | Specialist | 146 Medical Park Rd Ste 108, Mooresville, NC 28117-8529 | 2006-08-30 |
| 1538170238 | Randall Williams | Pathology | 4021 Avenue B, Scottsbluff, NE 69361-4602 | 2006-08-10 |
| 1720030646 | Randall Earl Williams | Internal Medicine | 27750 W Highway 22, Suite 240, Barrington, IL 60010-2379 | 2006-05-17 |
| Street Address |
1040 MANGROVE AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497752877 | Gregory Lynn Davis | Obstetrics & Gynecology | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2005-06-30 |
| 1144680141 | Kevin R Sorensen | Emergency Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2016-03-03 |
| 1306277686 | Patria Mckiernan | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2013-12-11 |
| 1346687225 | Robert Stephen Avilla | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926 | 2013-05-31 |
| 1114030095 | Hugo A. Leon | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-08-16 |
| 1962422238 | Mangrove Medical Group | Clinic/Center | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-20 |
| 1871528117 | Dean P Smith | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| 1407881741 | Kurt E Johnson | Family Medicine | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-12 |
| 1437180312 | Barbara J Wilde | Nurse Practitioner | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| 1912938887 | Dewayne E Caviness | General Practice | 1040 Mangrove Ave, Chico, CA 95926-3509 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871045401 | Nupur Group, LLC | General Practice | 729 Windham Way, Chico, CA 95973 | 2016-10-31 |
| 1992897771 | Stephen Dexter Peterson | General Practice | 185 E. 7th Ave., Suite D, Chico, CA 95926 | 2006-09-29 |
| 1528159340 | Richard H Brownley | General Practice | 888 Lakeside Village Commons, Chico, CA 95928-3979 | 2006-09-27 |
| 1235140278 | Randall Elton Caviness | General Practice | 1279 E 1st Ave Ste A, Chico, CA 95926-1542 | 2006-08-11 |
| 1881622587 | Kirk Casey, M.d., A Medical Corporation | General Practice | 2565 Ceanothus Ave Suite 150, Chico, CA 95973-7615 | 2006-06-29 |
| 1982687612 | Mark Allen Truhe | General Practice | 650 Rio Lindo Ave, Ste 10, Chico, CA 95926-1808 | 2005-11-28 |
| 1972918969 | Alfred David Villasenor | General Practice | 100 Independence Cir, Chico, CA 95973-0258 | 2014-06-27 |
| 1548441728 | Paul Maria Gahlinger | General Practice | 277 Cohasset Rd, Chico, CA 95926 | 2007-11-16 |
| 1578603122 | Ronald D. Johnson | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-06 |
| 1932248036 | Bradley Smith | General Practice | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2007-02-05 |
| Find all providers in CHICO | ||||
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| 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.