DERRICK RANDALL (NPI# 1366828790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366828790 |
| Entity Type | Individual |
| Full Name | DERRICK RANDALL |
| Practice Address |
2521 Stockton Blvd # 7200 Sacramento CA 95817-2207 |
| Practice Telephone | 9167342801 |
| Practice Fax Number | 9167035011 |
| Mailing Telephone | 9167342801 |
| Mailing Fax Number | 9167035011 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 137743 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699766758 | Derrick Wade Randall | Anesthesiology | 2145 Henry Tecklenburg Dr Ste 220, Charleston, SC 29414-5894 | 2005-10-28 |
| 1417309329 | Derrick Randall | Optometrist | 600 Ontario St, Storm Lake, IA 50588-1845 | 2016-07-05 |
| Street Address |
2521 STOCKTON BLVD # 7200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477794758 | Julie Marie Barkmeier-kraemer | Speech-Language Pathologist | 2521 Stockton Blvd # 7200, Sacramento, CA 95817-2207 | 2009-03-16 |
| 1912534546 | Emelia Stuart | Student in an Organized Health Care Education/Training Program | 2521 Stockton Blvd # 7200, Sacramento, CA 95817-2207 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710373410 | Apoorva Tewari Ramaswamy | Otolaryngology | 2521 Stockton Blvd Suite 7200, Sacramento, CA 95817 | 2015-04-09 |
| 1275760704 | Jonathan N Young | Otolaryngology | 2725 Capitol Ave Dept 404, Sacramento, CA 95816-6032 | 2009-06-11 |
| 1427219278 | David Douglass Nolen | Otolaryngology | 2521 Stockton Blvd Ste 6202, Sacramento, CA 95817-2207 | 2008-06-24 |
| 1730289083 | Denise Sylvie Smart | Otolaryngology | 3401 Pope Ave, Sacramento, CA 95821-3524 | 2006-09-25 |
| 1508869280 | Nancy H Appelblatt | Otolaryngology | 2701 Azalea Rd, Sacramento, CA 95864-4945 | 2005-05-24 |
| 1285637967 | Ernest E Johnson | Otolaryngology | 1111 Exposition Blvd, Bldg 700, Sacramento, CA 95815-4300 | 2005-05-24 |
| 1346243011 | David A Evans | Otolaryngology | 1111 Exposition Blvd Ste 700, Sacramento, CA 95815-4335 | 2005-05-24 |
| 1154844637 | Timothy James Phillips | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2017-07-17 |
| 1780070417 | Joshua Joseph Kain | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2015-04-09 |
| 1316331788 | Sharon Xiaoyue Li | Otolaryngology | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2015-03-24 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.