JOANNA RANDOLPH (NPI# 1750681714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
20055 LAKE CHABOT RD SUITE 230 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5331 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.