Jeffrey B Randall (NPI# 1720046295, PAC ID# 7012965106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1720046295 |
| PAC ID by PECOS | 7012965106 |
| Professional Enrollment ID | I20111221000629 |
| Full Name | Jeffrey B Randall |
| Organization Legal Name | PACIFIC BRAIN AND SPINE MED GRP INC |
| Address |
1320 El Capitan Dr Suite 300 Danville CA 94526-6258 |
| Phone Number | 9258842360 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1984 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 5395793483 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050488 | EDEN MEDICAL CENTER |
| 050305 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Address | Phone | Organization |
|---|---|---|
| 20055 Lake Chabot Rd, Suite 110, Castro Valley, CA 94546-5332 | 5108863138 | PACIFIC BRAIN AND SPINE MED GRP INC |
| 1320 El Capitan Dr, Suite 300, Danville, CA 94526-6258 | 9258842360 | PACIFIC BRAIN AND SPINE MED GRP INC |
| Organization Legal Name | PACIFIC BRAIN AND SPINE MED GRP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence D Dickinson | Neurosurgery | Pacific Brain and Spine Med Grp Inc | 1320 El Capitan Dr, Suite 300, Danville, CA 94526-6258 |
| Ronnie Mimran | Neurosurgery | Pacific Brain and Spine Med Grp Inc | 1320 El Capitan Dr, Suite 300, Danville, CA 94526-6258 |
| Street Address |
1320 EL CAPITAN DR SUITE 300 |
| City | DANVILLE |
| State | CA |
| Zip | 94526-6258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence D Dickinson | Neurosurgery | Pacific Brain and Spine Med Grp Inc | 1320 El Capitan Dr, Suite 300, Danville, CA 94526-6258 |
| Nolli S Riordan | General Surgery | East Bay Cardiovascular and Thoracic Associates Inc. | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 |
| Howard Martin Sokoloff | Podiatry | 1320 El Capitan Dr, Suite 410, Danville, CA 94526-6215 | |
| Vikram Talwar | Orthopedic Surgery | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 | |
| Caroline Louise Federighi | Physician Assistant | Robert A. Rovner, Md, A Professional Corporation | 1320 El Capitan Dr, Suite 200, Danville, CA 94526-6258 |
| Salim M Shelby | Gastroenterology | Bay Area Surgical Specialists Inc A Medical Corporation | 1320 El Capitan Dr, Suite 110, Danville, CA 94526-6260 |
| Bela S. Kenessey | Family Medicine | 1320 El Capitan Dr, Suite 400, Danville, CA 94526-6215 | |
| Murali Dharan | Thoracic Surgery | East Bay Cardiovascular and Thoracic Associates Inc. | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 |
| Bradford T Flagg | Family Medicine | 1320 El Capitan Dr, Suite 400, Danville, CA 94526-6215 | |
| Tanveer A Khan | Cardiac Surgery | East Bay Cardiovascular and Thoracic Associates Inc. | 1320 El Capitan Dr, Suite 120, Danville, CA 94526-6258 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlyn R Vandyke | Physical Therapy | 530 La Gonda Way, Suite C, Danville, CA 94526-1727 | |
| Michelle Lee Swenson | Chiropractic | 400 El Cerro Blvd, Suite 206, Danville, CA 94526-1731 | |
| Donald Parsons | Internal Medicine | 400 El Cerro Blvd, Suite 102, Danville, CA 94526-1731 | |
| Erick C Swenson | Chiropractic | Swenson Precision Chiropractic Inc | 400 El Cerro Blvd, Suite 206, Danville, CA 94526-1731 |
| Carl Runyon | Maxillofacial Surgery | Partnership of David M Rainero Dmd A PC and Carl R Runyon Dmd A PC | 300 El Cerro Boulevard, Suite B, Danville, CA 94526-1745 |
| David M Rainero | Maxillofacial Surgery | Partnership of David M Rainero Dmd A PC and Carl R Runyon Dmd A PC | 300 El Cerro Boulevard, Suite B, Danville, CA 94526-1745 |
| Carrie Ann Baldwin | Maxillofacial Surgery | Partnership of David M Rainero Dmd A PC and Carl R Runyon Dmd A PC | 300 El Cerro Boulevard, Suite B, Danville, CA 94526-1745 |
| Kathryn A Vancleave | Nurse Practitioner | Adam Wallach,m.d. A Professional Corporation | 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1778 |
| Sarah Broome | Physician Assistant | Adam Wallach,m.d. A Professional Corporation | 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1778 |
| Adam G Wallach | Dermatology | Adam Wallach,m.d. A Professional Corporation | 400 El Cerro Blvd, Suite 204, Danville, CA 94526-1778 |
| Find all physicians in zip 94526 | |||
| City | DANVILLE |
| Zip Code | 94526 |
| Specialty | NEUROSURGERY |
| City + Specialty | DANVILLE + NEUROSURGERY |
Please comment or provide details below to improve the information on Jeffrey B Randall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.