JOANNA RANDOLPH


Address: 20055 Lake Chabot Rd, Suite 230, Castro Valley, CA 94546-5331
Phone: 5108811490

JOANNA RANDOLPH (NPI# 1750681714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750681714
Entity Type Individual
Full Name JOANNA RANDOLPH
Credential RN, MS, ANP
Practice Address 20055 Lake Chabot Rd
Suite 230
Castro Valley
CA 94546-5331
Mailing Address 450 Sutter St
San Francisco
CA 94108-4206
Practice Telephone 5108811490
Practice Fax Number 5108895806
Enumeration Date 2010-10-25
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2010009027 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers JOANNA RANDOLPH

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1376845354 Joanna Hope Randolph Registered Nurse 701 County Services Dr, Cookeville, TN 38501-4338 2010-11-24
1548460652 Joanna Christine Randolph Specialist/Technologist 4820 W Newberry Rd, Gainesville, FL 32607-2249 2007-07-18

Office Location

Street Address 20055 LAKE CHABOT RD
SUITE 230
City CASTRO VALLEY
State CA
Zip Code 94546-5331

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770572760 Michael Edward Nickas Urology 20055 Lake Chabot Rd, #100, Castro Valley, CA 94546-5331 2005-10-21
1225571771 University Healthcare Alliance Internal Medicine 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 2016-11-30
1346656832 Connie Hwa Chen Registered Nurse 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 2014-07-07
1427481522 Peter Adamczyk, Md, Inc. Psychiatry & Neurology 20055 Lake Chabot Rd, Suite 300, Castro Valley, CA 94546-5331 2013-08-13
1366795395 Tara Marie Jordan Physician Assistant 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 2012-10-15
1376802579 Thomas R Powers Md. Inc Psychiatric Hospital 20055 Lake Chabot Rd, Suite 350, Castro Valley, CA 94546-5331 2012-05-08
1467731828 Gene-yuan Chang Internal Medicine 20055 Lake Chabot Rd, 230, Castro Valley, CA 94546-5331 2011-08-16
1568696987 Doctors Medical Surgical Associates Specialist 20055 Lake Chabot Rd, Suite 200, Castro Valley, CA 94546-5331 2009-05-13
1407051584 Daniel B. Allen, M.d., Inc. Specialist 20055 Lake Chabot Rd, Suite 240, Castro Valley, CA 94546-5331 2007-06-18
1689710915 Peter Adamczyk Psychiatry & Neurology 20055 Lake Chabot Rd, Suite 300, Castro Valley, CA 94546-5331 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861991234 For Your Eyes Only Ophthalmic Medical Corp. Optometrist 2687 Castro Valley Blvd., Castro Valley, CA 94546 2018-02-12
1821536954 Webster Surgery Center, Lp Clinic/Center 20998 Redwood Dr, Castro Valley, CA 94546 2017-02-09
1639506215 Jennifer Lee Pharmacist 20629 Redwood Road, Castro Valley, CA 94546 2013-09-27
1679860506 Lauren Nicole Hill Counselor 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 2011-06-29
1326330952 Jeannette Villalobos Counselor 5248 Crane Avenue, Castro Valley, CA 94546 2011-05-16
1780992560 Cherie Christine-vivona Clark Physician Assistant Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 2010-09-15
1518287218 Rite Aid Incorporation Community/Behavioral Health 3548 Castro Valley Blv, Castro Valley, CA 94546 2010-06-03
1770719940 Kristina Marie Sotto Occupational Therapist 20259 Lake Chabot Road, Castro Valley, CA 94546 2009-06-02
1861664203 Bannanje R Nayak Physical Medicine & Rehabilitation 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 2008-03-26
1205030202 Yvonne Marie Jones Social Worker 2055 Fairmont Dr., San Leandro, CA 94546 2007-06-13
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922313824 Beverly Ann Nuchols Nurse Practitioner 20103 Lake Chabot Rd, Eden Medical Center Employee Health Clinic, Castro Valley, CA 94546-5305 2010-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1407464522 Laura Bradigan Nurse Practitioner 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 2020-07-15
1538787031 Kelly Olcott Nurse Practitioner 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 2020-07-10
1629695440 Kelley Ibarra Nurse Practitioner 1613 Celeste Dr, Modesto, CA 95355-5039 2020-06-26
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1851913115 Lilly Fong Nurse Practitioner 15821 Square Top Ln, Fontana, CA 92336-4586 2020-05-09
1548880750 Sharkeiya Terrell Nurse Practitioner 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 2020-04-17
1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
1518507078 Rachel Saake Collar Nurse Practitioner 5100, 1000 Executive Pkwy, Oroville, CA 95966 2020-01-13
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Competitor

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City CASTRO VALLEY
Zip Code 94546

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Dataset Information

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.

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