BRIGITTE M RANDLE (NPI# 1033209820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033209820 |
| Entity Type | Individual |
| Full Name | BRIGITTE M RANDLE |
| Credential | MD |
| Practice Address |
770 Mason St Vacaville CA 95688-4646 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 7074545800 |
| Practice Fax Number | 7074545871 |
| Mailing Telephone | 8666810736 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A44100 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A441000 | 05 |
| Street Address |
770 MASON ST |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295703189 | Ricardo Edward Denapoli | Family Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2006-03-08 |
| 1144700436 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 770 Mason St, Vacaville, CA 95688-4646 | 2018-08-16 |
| 1912434192 | Shilpa Chopra | Pediatrics | 770 Mason St, Vacaville, CA 95688-4646 | 2017-05-18 |
| 1477086320 | Michael Benjamin Olalia | Internal Medicine | 770 Mason St, Vacaville, CA 95688-4646 | 2017-04-07 |
| 1134675176 | Mariela Woods | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2016-08-30 |
| 1871964353 | Stephanie Sandeep Purewal | Physician Assistant | 770 Mason St, Vacaville, CA 95688 | 2015-10-09 |
| 1003292608 | Jeffrey Youngberg | Dentist | 770 Mason St, Suite 110, Vacaville, CA 95688-4646 | 2015-08-05 |
| 1568897718 | Holly L Pulket | Physical Therapist | 770 Mason St, Vacaville, CA 95688-4646 | 2013-09-06 |
| 1790025922 | Catherine Anthony-tkach | Nurse Practitioner | 770 Mason St, Vacaville, CA 95688-4646 | 2013-02-25 |
| 1932475548 | Damoon Rejaei | Physical Medicine & Rehabilitation | 770 Mason St, Vacaville, CA 95688 | 2012-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093150054 | Rebekah Jeehae Kim | Pediatrics | 1119 E Monte Vista Ave # Ms 32-200, Vacaville, CA 95688 | 2013-05-03 |
| 1912434192 | Shilpa Chopra | Pediatrics | 770 Mason St, Vacaville, CA 95688-4646 | 2017-05-18 |
| 1740570126 | Firas Salim | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2011-04-19 |
| 1477754042 | Kimmy May Jong | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2007-05-30 |
| 1013123827 | Nina Josefa Roque | Pediatrics | 600 Nut Tree Rd, Suite 310, Vacaville, CA 95687-4669 | 2007-05-16 |
| 1558580969 | Roy K Marubayashi | Pediatrics | 3700 Vaca Valley Pkwy, Vacaville, CA 95688-9430 | 2007-04-24 |
| 1750453411 | Cheryl Stocking-petersen | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-15 |
| 1174601983 | Jeffrey L. Gaborko | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
| 1194803098 | Mary Catherine Land | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
| 1649358540 | Fernandino Floresca | Pediatrics | 1 Quality Dr, Vacaville, CA 95688-9494 | 2006-11-01 |
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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.