KEITH RANDLE (NPI# 1285001438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285001438 |
| Entity Type | Individual |
| Full Name | KEITH RANDLE |
| Practice Address |
2100 Highland Dr Newport Beach CA 92660-4408 |
| Mailing Address |
2100 Highand Drive Newport Beach CA 92660-4408 |
| Practice Telephone | 9496898880 |
| Mailing Telephone | 9496898880 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLR00348278 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376882761 | Keith Randle | Physical Therapist | 1076 W Chandler Blvd Ste 103, Chandler, AZ 85224-5223 | 2013-02-05 |
| Street Address |
2100 HIGHLAND DR |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609332394 | Sunset Shoreline | Clinical Medical Laboratory | 1501 Westcliff Dr Ste 309, Newport Beach, CA 92660-5519 | 2019-02-18 |
| 1265928212 | Ats Health | Clinical Medical Laboratory | 20271 Sw Birch St Ste 201, Newport Beach, CA 92660-1752 | 2018-07-02 |
| 1275069049 | Catalina Coast, LLC | Clinical Medical Laboratory | 901 Dover Dr Ste 235, Newport Beach, CA 92660-5515 | 2017-05-11 |
| 1215488341 | Scbc Holdings, LLC | Clinical Medical Laboratory | 2549 Eastbluff Dr, Suite 750, Newport Beach, CA 92660-3500 | 2016-10-24 |
| 1619364171 | Lifting Spirits | Clinical Medical Laboratory | 17 Encore Ct, Newport Beach, CA 92663-2356 | 2015-04-22 |
| 1558755496 | Nextgen Laboratories, Inc. | Clinical Medical Laboratory | 4229 Birch St, Suite 130, Newport Beach, CA 92660-1902 | 2015-03-27 |
| 1174927792 | H&j Toxicology, LLC | Clinical Medical Laboratory | 4229 Birch St Ste 130, Newport Beach, CA 92660-1960 | 2014-10-09 |
| 1336585744 | Windward Way Recovery | Clinical Medical Laboratory | 3822 Campus Dr Ste 500, Newport Beach, CA 92660-2607 | 2013-05-13 |
| 1215955265 | Unilab Corporation | Clinical Medical Laboratory | 1401 Avocado Ave Ste, Ste 103, Newport Beach, CA 92660-8701 | 2006-07-18 |
| 1275913683 | Newport Beach Ivf, LLC | Clinical Medical Laboratory | 361 Hospital Rd, Suite 433, Newport Beach, CA 92663-3522 | 2015-06-02 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.