DR. JOHN FRANKLIN RANDOLPH (NPI# 1750389482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750389482 |
| Entity Type | Individual |
| Full Name | DR. JOHN FRANKLIN RANDOLPH |
| Credential | M.D. |
| Practice Address |
410 E Parkcenter Cir N San Bernardino CA 92408-2869 |
| Mailing Address |
Po Box 7779 Redlands CA 92375-0779 |
| Practice Telephone | 9095019932 |
| Mailing Telephone | 9512050937 |
| Mailing Fax Number | 9095801916 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
G48108 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0065470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871656900 | John T Randolph | Chiropractor | 10223 Broadway St Ste C, Pearland, TX 77584-7881 | 2006-12-19 |
| 1750481214 | John L Randolph | Psychologist | 43 Starbird St., Malden, MA 02148-2835 | 2006-09-25 |
| 1700881463 | John James Randolph | Clinical Neuropsychologist | 20 W Park St, Ste 215, Lebanon, NH 03766-1378 | 2005-06-17 |
| 1689677882 | John Randolph | Family Medicine | 105 Liberty Blvd, Liberty, SC 29657-1641 | 2005-05-23 |
| 1427286491 | John Taylor Randolph | Counselor | 605 W Oxford Ave, Enid, OK 73701-1208 | 2009-06-29 |
| 1619122264 | John S Randolph | Dentist | 11121 Health Park Blvd, Suite 200, Naples, FL 34110-5739 | 2008-11-24 |
| 1225296577 | John Whitney Randolph | Emergency Medicine | 6 Glen Cove Dr, Rockport, ME 04856-4240 | 2008-05-22 |
| 1164621330 | John Carlton Randolph | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3914 | 2007-07-17 |
| 1174610943 | John F Randolph Jr. | Obstetrics & Gynecology | 475 Market Place, Bldg One, Ann Arbor, MI 48108-1649 | 2006-10-05 |
| 1629065636 | John D Randolph | Surgery | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2005-10-04 |
| Street Address |
410 E PARKCENTER CIR N |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901429 | Maricelle Ranola | Dietitian, Registered | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2020-01-21 |
| 1124662242 | Stembile Madakiwe | Registered Nurse | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2019-10-31 |
| 1588218663 | Charlisa Brothers | Nurse Practitioner | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2019-07-28 |
| 1871064022 | Marla Faye Downs | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1043781297 | Nancy Elizabeth Maurer | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-12-16 |
| 1679058648 | Harvey Abonales | Physical Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2018-09-26 |
| 1902324973 | Matthew O Richards | Occupational Therapist | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2017-08-30 |
| 1992170575 | Innovage Health Partners, Inc. | Internal Medicine | 410 E Parkcenter Cir N, San Bernardino, CA 92408-2869 | 2015-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516996 | Natasha Harmis | Family Medicine | 1608 Lawndale Rd, El Cajon, CA 92019-3776 | 2020-10-21 |
| 1073135406 | California Gerontology Clinic | Family Medicine | 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 | 2020-05-07 |
| 1225657331 | Samantha Lillian Escalera | Family Medicine | 9608 Planter St, Pico Rivera, CA 90660-4743 | 2020-04-09 |
| 1164058897 | Amani A Osman | Family Medicine | 9753 Holder St, Cypress, CA 90630-4004 | 2020-03-13 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1013549914 | Vertini Medical Group Inc | Family Medicine | 1001 W Carson St Ste S, Torrance, CA 90502-2051 | 2020-02-07 |
| 1295297463 | Cedars Family Medicine Inc | Family Medicine | 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 | 2019-04-04 |
| 1811455967 | Hope Geriatric Medical Center Inc | Family Medicine | 9 Coursan, Laguna Niguel, CA 92677-8902 | 2019-03-07 |
| 1245702174 | Jonah Medical Group Inc | Family Medicine | 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 | 2018-12-17 |
| 1104392885 | Wilshire Connected Care | Family Medicine | 277 South St Ste S, San Luis Obispo, CA 93401-5039 | 2018-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
Please comment or provide details below to improve the information on DR. JOHN FRANKLIN RANDOLPH.
| 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.