DR. RANDY JAMES FEDORCHUK (NPI# 1720394067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720394067 |
| Entity Type | Individual |
| Full Name | DR. RANDY JAMES FEDORCHUK |
| Credential | M.D., HMDC |
| Practice Address |
74130 Country Club Dr Ste 103 Palm Desert CA 92260-1687 |
| Mailing Address |
60138 Katie Cir La Quinta CA 92253-9331 |
| Practice Telephone | 8665697922 |
| Mailing Telephone | 7606687068 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | C52050 | CA | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
LT1707 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
C52050 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
74130 COUNTRY CLUB DR STE 103 |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92260-1687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414202 | Arianna D Aguilar | Behavioral Analyst | 7410 Highway 111 Suite 102, Palm Desert, CA 92260 | 2020-10-12 |
| 1063053098 | Sylvia Ann Trapuzzano | Marriage & Family Therapist | 74-040 Highway IIi, Suite L-202, Palm Desert, CA 92260 | 2019-10-01 |
| 1477011153 | Alexis Ivonne Corrales | Behavior Technician | 74-710 Ca-111, Ste #102, Palm Desert, CA 92260 | 2019-03-12 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1104329820 | Oz Med, Inc. | Pharmacy | 44150 Town Center Way, Ste B4, Palm Desert, CA 92260 | 2018-03-09 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1225540180 | Dr Fatemeh Hadjian D.d.s. P.a. | Dentist | 74000 Country Club Ste B1, Palm Desert, CA 92260 | 2017-11-01 |
| 1871032185 | Brianne Lee Stoddard | Behavioral Analyst | 41555 Cook Street, Suite 100, Palm Desert, CA 92260 | 2017-02-20 |
| 1275072720 | Michael Giordano Jerez | Chiropractor | 72840 Ca - 111 Suite 2, Palm Desert, CA 92260 | 2017-02-16 |
| 1982150785 | Joshua W Cartter Dds Inc | Dentist | 72415 Park View, Palm Desert, CA 92260 | 2016-08-31 |
| Find all providers in zip 92260 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617978 | St. Joseph Home Care Network | Family Medicine | 447 College Ave, Santa Rosa, CA 95401-5141 | 2020-04-09 |
| 1639704604 | Rose Desert Hospice | Family Medicine | 42156 10th St W Ste 106, Lancaster, CA 93534-7025 | 2020-03-10 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1083145247 | Michael J Cortez Md Inc | Family Medicine | 826 Alberta St, Altadena, CA 91001-5322 | 2017-03-21 |
| 1760735492 | Devader Medical & Research Group,inc. | Family Medicine | 175 N Redwood Dr, Suite 275, San Rafael, CA 94903-1972 | 2012-10-18 |
| 1306197520 | Eunice Kim | Family Medicine | 25941 Campo Cv, Loma Linda, CA 92354-6531 | 2012-09-27 |
| 1114155215 | Mook-lan Sauvignon Iglowitz | Family Medicine | 4150 V Street Suite 3400, Palliative Care Department, Sacramento, CA 95817 | 2009-06-26 |
| 1063672244 | Satya Chelamkuri | Family Medicine | El Camino Hospital, 2500 Grant Road, Mountain View, CA 94040 | 2008-06-11 |
| 1053528455 | Richard Marc Goldstein | Family Medicine | 1920 E Katella Ave Ste U, Orange, CA 92867-5146 | 2007-05-16 |
| 1386866689 | Michelle A Thomas Md Inc | Family Medicine | 6061 N First, Suite 102, Fresno, CA 93729 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92260 |
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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.