DR. RANDALL CAREY LUM (NPI# 1922134378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922134378 |
| Entity Type | Individual |
| Full Name | DR. RANDALL CAREY LUM |
| Credential | DDS |
| Practice Address |
815 First Street Benicia CA 94510 |
| Practice Telephone | 7077452526 |
| Practice Fax Number | 7077452590 |
| Mailing Telephone | 7077452526 |
| Mailing Fax Number | 7077452590 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
24476 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679628010 | Randall T. Lum | Optometrist | 2278 Westborough Blvd Ste 204, South San Francisco, CA 94080-5438 | 2007-01-24 |
| Street Address |
815 FIRST STREET |
| City | BENICIA |
| State | CA |
| Zip Code | 94510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578114690 | Stacie Coveleski | Psychologist | 701 Southhampton Road, Suite 102, Benicia, CA 94510 | 2019-09-20 |
| 1962065227 | Susan Samuelsz | Marriage & Family Therapist | 1350 Hayes St. Suite A33, Benicia, CA 94510 | 2019-04-22 |
| 1982150546 | Christine Torres | Health Educator | 777 West H Street, Benicia, CA 94510 | 2016-09-01 |
| 1548654692 | Paul Villamizar | Pharmacist | 900 Cambridge Drive Unit 11, Benicia, CA 94510 | 2015-03-26 |
| 1457768079 | Gail Frizzell | Social Worker | 865 West I Street, Benicia, CA 94510 | 2014-07-15 |
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1528328283 | Julie Laura Rose | Acupuncturist | 555 First St., Suite 200, Benicia, CA 94510 | 2012-05-29 |
| 1720379175 | Gary Archie Plaskett | Counselor | 591 Capitol Dr, Benicia, CA 94510 | 2011-04-20 |
| 1104062405 | Dan Gary Wertheimer | Social Worker | 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 | 2008-12-17 |
| 1023266053 | Mark David Levine Md Vallejo Professional Corporation | Psychiatry & Neurology | 1021 First St Ste 5, Benicia, CA 94510 | 2008-09-03 |
| Find all providers in zip 94510 | ||||
| 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 |
|---|---|---|---|---|
| 1093150740 | Mjq Family Dentistry | Dentist | 125 East N Street, Benicia, CA 94510 | 2013-05-08 |
| 1629328869 | Jacqueline Lim | Dentist | 930 Bolton Cir, Benicia, CA 94510-3620 | 2012-09-14 |
| 1487891875 | Susana Verbis | Dentist | 717 Larkspur Ct, Benicia, CA 94510-3836 | 2009-01-07 |
| 1134312986 | Christopher Scott Swoboda | Dentist | 1387 E 2nd St, Benicia, CA 94510-2836 | 2007-08-24 |
| 1831221829 | Ronald James Tosch | Dentist | 118 W K St, Benicia, CA 94510-3120 | 2007-03-12 |
| 1457481533 | Kerry K Carney | Dentist | 164 E H St, Benicia, CA 94510-3231 | 2007-03-06 |
| 1962509836 | Teresina N Wong | Dentist | 2008 Columbus Pkwy, Benicia, CA 94510-5400 | 2006-09-20 |
| 1679564447 | Mel Quiba | Dentist | 125 E N St, Benicia, CA 94510-2728 | 2005-11-02 |
| 1023464112 | Christopher Joseph Rehage | Dentist | 884 Southampton Rd, Benicia, CA 94510-1907 | 2016-05-09 |
| 1891902755 | Patrick L. Roetzer, D.d.s., Inc. | Dentist | 142 E D St, Benicia, CA 94510-3223 | 2007-05-17 |
| Find all providers in BENICIA | ||||
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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.