DR. THOMAS SCOTT RANDALL (NPI# 1639579519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639579519 |
| Entity Type | Individual |
| Full Name | DR. THOMAS SCOTT RANDALL |
| Credential | DMD |
| Practice Address |
Naval Medical Center San Diego 3400 Bob Wilson Drive San Diego CA 92134-1206 |
| Practice Telephone | 6195325942 |
| Mailing Telephone | 6195325942 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
64016 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417030065 | Thomas Merton Randall | Dentist | 3707 W Michigan Ave, Lansing, MI 48917-3610 | 2006-10-24 |
| 1942210166 | Thomas Randall | Pediatrics | 2835 Fourt Missoula Rd, Ste 205 Missoula Family Pediatrics, Missoula, MT 59804 | 2006-08-09 |
| 1598329575 | Thomas Sullivan Randall | Student in an Organized Health Care Education/Training Program | 1800 N California St, Stockton, CA 95204-6019 | 2019-04-25 |
| 1376754739 | Thomas Lee Randall | Physical Therapy Assistant | 7233 Whipple Ave Nw, North Canton, OH 44720-7137 | 2007-05-25 |
| 1649373721 | Thomas Navin Randall | Internal Medicine | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-09-06 |
| 1326012832 | Thomas Randall | Family Medicine | 1275 N High St, Hillsboro, OH 45133-8273 | 2006-02-14 |
| 1154307239 | Thomas C. Randall | Obstetrics & Gynecology | 801 Spruce St, 8th Floor, Philadelphia, PA 19107-5701 | 2005-12-20 |
| Street Address |
NAVAL MEDICAL CENTER SAN DIEGO 3400 BOB WILSON DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838695 | Adolph C Garza | Dentist | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2005-08-15 |
| 1699397554 | Derek Booth | Military Health Care Provider | Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2020-05-14 |
| 1952922874 | Jared Andrew Ingersoll | Military Health Care Provider | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-01 |
| 1336776830 | Jordana Brooke Herr | Military Health Care Provider | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-25 |
| 1982257796 | John Parker Northrop | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2019-07-21 |
| 1225597321 | John Fahy | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2019-03-18 |
| 1659830131 | Richard William Lang IIi | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Drive, San Diego, CA 92134-5000 | 2019-03-14 |
| 1316436538 | Gabriel Christopher Mendoza Lapid | Military Health Care Provider | Naval Medical Center San Diego, San Diego, CA 92134-5000 | 2018-05-03 |
| 1043708324 | Adrian Aceves-hurtado | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2018-04-23 |
| 1457848657 | John Lofrese | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego, 38400 Bob Wilson Dr., San Diego, CA 92134-5000 | 2018-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455181 | Julia Nguyen | Dentist | 9225 Mira Mesa Blvd Ste 218, San Diego, CA 92126-4811 | 2020-10-22 |
| 1831797489 | Lily Neskin | Dentist | 4454 Shorepointe Way, San Diego, CA 92130-8635 | 2020-10-15 |
| 1487251294 | Zeki Abdulaali | Dentist | 1501 India St Unit 607, San Diego, CA 92101-2449 | 2020-10-05 |
| 1629681895 | Elizabeth Rodriguez | Dentist | 14701 Via Bettona Ste 215, San Diego, CA 92127-4808 | 2020-08-27 |
| 1679183602 | Hayat Fahliogullari-smith | Dentist | 1281 9th Ave Unit 1309, San Diego, CA 92101-4655 | 2020-08-04 |
| 1235768631 | Virgnia Padua Mattson D.m.d. | Dentist | 11717 Bernardo Plaza Ct Ste 100, San Diego, CA 92128-2419 | 2020-04-07 |
| 1154956050 | Enbara Corporation | Dentist | 5189 Clairmont Mesa Blvd, San Diego, CA 92117 | 2020-03-11 |
| 1215568043 | Hage Dental Corporation | Dentist | 3365 Rosecrans St Ste C, San Diego, CA 92110-4256 | 2020-01-30 |
| 1275174310 | Yige Zhao Dental Corporation | Dentist | 9840 Carmel Mountain Rd, San Diego, CA 92129-2812 | 2019-09-30 |
| 1083255111 | Wayne David Gonzales | Dentist | 8031 Linda Vista Rd # 210, San Diego, CA 92111-5110 | 2019-09-30 |
| Find all providers in SAN DIEGO | ||||
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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.