Randall Craig Stark (NPI# 1568674737, PAC ID# 9234369778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1568674737 |
| PAC ID by PECOS | 9234369778 |
| Professional Enrollment ID | I20140303001545 |
| Full Name | Randall Craig Stark |
| Address |
17922 Magnolia St Fountain Valley CA 92708-5039 |
| Gender | M |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1988 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17922 Magnolia St, Fountain Valley, CA 92708-5039 |
| Street Address |
17922 MAGNOLIA ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip | 92708-5039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ranjan Sapra | Hematology/oncology | 11190 Warner Ave, Suite 405, Fountain Valley, CA 92708-0000 | |
| Kinh Tu Tran | Family Medicine | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Hiep Truong | Obstetrics/gynecology | 15975 Harbor Blvd, Fountain Valley, CA 92708-1303 | |
| Anh Linh T Nguyen | Optometry | 16125 Harbor Blvd, Fountain Valley, CA 92708-1305 | |
| Hoang T Nguyen | Internal Medicine | 16040 Harbor Blvd G, Fountain Valley, CA 92708-1327 | |
| Tuan Manh Hoang | Oral Surgery | 16045 Brookhurst St, Fountain Valley, CA 92708-1544 | |
| Raif W Iskander | Physician Assistant | Xtra Care Medical Group | 16171 Brookhurst St, Fountain Valley, CA 92708-1550 |
| Phong Huy Bui | Internal Medicine | 16055 Brookhurst St, Suite C, Fountain Valley, CA 92708-1566 | |
| Gordon K Ota | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Kim Nhat Nguyen Le Huynh | Optometry | Nhat Le-huynh Od A Professional Corporation | 10130 Warner Ave, Suite J, Fountain Valley, CA 92708-1619 |
| Find all physicians in zip 92708 | |||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FOUNTAIN VALLEY + CHIROPRACTIC |
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| 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.