MR. WILLIAM EDWARD RANDALL IV (NPI# 1518327618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518327618 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM EDWARD RANDALL IV |
| Credential | AMFT |
| Practice Address |
1400 N. Jonson Ave. Suite 101 El Cajon CA 92020 |
| Practice Telephone | 6194420277 |
| Mailing Telephone | 6194420277 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2020-01-02 |
| NPI Deactivation Date | 12/21/2019 |
| NPI Reactivation Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285625707 | William Lewis Randall | Physician Assistant | Hhc Xviii Airborne Corps Surgeon Office, Macomb Street, Bldg 2-1148, Fort Bragg, NC 28310-0001 | 2005-11-03 |
| 1851355630 | William John Randall | Family Medicine | 1900 Composite Drive, Kettering, OH 45420-1475 | 2006-04-17 |
| 1720047988 | William E Randall Jr. | Internal Medicine | 1205 York Rd, Suite 33, Lutherville, MD 21093 | 2006-03-17 |
| Street Address |
1400 N. JONSON AVE. SUITE 101 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1285253179 | Amanda Daoud | Student in an Organized Health Care Education/Training Program | 1542 Vista Sierra Dr, El Cajon, CA 92019-3583 | 2020-04-10 |
| 1215562244 | Silivya Hana | Student in an Organized Health Care Education/Training Program | 436 S Magnolia Ave Ste 101&201, El Cajon, CA 92020-5237 | 2020-03-10 |
| 1225680572 | Rana Habboush | Student in an Organized Health Care Education/Training Program | 1483 Gustavo St Unit B, El Cajon, CA 92019-3286 | 2019-07-16 |
| 1972008050 | Ahmed Al Ani | Student in an Organized Health Care Education/Training Program | 1652 Hilton Head Ct Apt 2188, El Cajon, CA 92019-4529 | 2018-03-29 |
| 1548431331 | Mark Christopher Ashley | Student in an Organized Health Care Education/Training Program | 12044 Royal Rd, Space 125, El Cajon, CA 92021-1454 | 2008-03-19 |
| 1558545483 | Victoria Julia Rivera | Student in an Organized Health Care Education/Training Program | 927 E Chase Ave, El Cajon, CA 92020-7607 | 2007-12-27 |
| 1043398530 | Marvin Roberson | Student in an Organized Health Care Education/Training Program | 1000 Broadway Ste 100, El Cajon, CA 92021-4899 | 2006-11-01 |
| 1902419435 | Ronak Elda | Student in an Organized Health Care Education/Training Program | 436 S Magnolia Ave, El Cajon, CA 92020-5237 | 2020-08-25 |
| 1710599790 | Julie K Neill | Student in an Organized Health Care Education/Training Program | 1664 Broadway, El Cajon, CA 92021-5201 | 2020-08-20 |
| Find all providers in EL CAJON | ||||
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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.