JENNIFER LYNN RANDOLPH (NPI# 1013314533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013314533 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN RANDOLPH |
| Credential | L.AC. |
| Practice Address |
1047 Via Cordova San Pedro CA 90732-2302 |
| Practice Telephone | 3108978688 |
| Mailing Telephone | 3108978688 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC16368 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588221444 | Jennifer Randolph | Counselor | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 | 2019-05-24 |
| 1306201991 | Jennifer Randolph | Behavioral Analyst | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-12-23 |
| 1942598602 | Jennifer Lee Randolph | Social Worker | 2540 Monroeville Blvd, Monroeville, PA 15146-2329 | 2011-07-15 |
| 1588956486 | Jennifer Michelle Randolph | Pharmacist | 600 Greece Ridge Center Dr, Target Pharmacy T-1194, Rochester, NY 14626-2825 | 2011-05-10 |
| 1558559393 | Jennifer Lynn Randolph | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2007-10-05 |
| 1326164898 | Jennifer T. Randolph | Counselor | 1129 11th St Nw, Washington, DC 20001-4354 | 2007-03-22 |
| Street Address |
1047 VIA CORDOVA |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265983324 | Anna Back | Acupuncturist | 647 W 5th St, H, San Pedro, CA 90731-2533 | 2016-10-24 |
| 1255605911 | Robert Dennis Peterson | Acupuncturist | 1214 S Alma St, #5, San Pedro, CA 90731-3949 | 2012-02-28 |
| 1477874964 | Michael Walter Plachta | Acupuncturist | 3837 1/2 Bluff Pl, San Pedro, CA 90731-7007 | 2010-06-18 |
| 1710209978 | Birgitta Eva Sween | Acupuncturist | 3336 S Kerckhoff Ave, San Pedro, CA 90731-6713 | 2010-02-15 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| 1144473679 | Olesia Farberov | Acupuncturist | 615 W 9th St, San Pedro, CA 90731-3107 | 2008-10-28 |
| 1568615375 | Marc Pierson Ryan | Acupuncturist | 150 W 6th St, #200, San Pedro, CA 90731-3300 | 2008-10-24 |
| 1396955241 | Roya Nematollahi | Acupuncturist | 1360 W 6th St # Suite150, San Pedro, CA 90732-3514 | 2007-05-22 |
| 1578684700 | Zheng Zhang | Acupuncturist | 647 W 9th St, San Pedro, CA 90731-3107 | 2007-04-03 |
| 1124166061 | Louis Sterling | Acupuncturist | 302 W 5th St Ste 101, San Pedro, CA 90731-2700 | 2007-02-02 |
| Find all providers in SAN PEDRO | ||||
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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.