MR. BRYAN CLARK RANDOLPH (NPI# 1932267994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932267994 |
| Entity Type | Individual |
| Full Name | MR. BRYAN CLARK RANDOLPH |
| Credential | D.D.S. , M.S. |
| Practice Address |
1954 Del Paso Rd Suite #101 Sacramento CA 95834-7706 |
| Practice Telephone | 9164190020 |
| Practice Fax Number | 9164196787 |
| Mailing Telephone | 9164190020 |
| Mailing Fax Number | 9164196787 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
41779 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536147 | Bryan J Randolph | Social Worker | 2274 Mount Moosilauke Hwy, Pike, NH 03780-5615 | 2016-01-28 |
| 1649276007 | Bryan Wayne Randolph | Podiatrist | 7821 Youree Dr, Shreveport, LA 71105-5505 | 2005-06-21 |
| Street Address |
1954 DEL PASO RD SUITE #101 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104904648 | Cathy Chan | Dentist | 1954 Del Paso Rd, Suite 101, Sacramento, CA 95834-7706 | 2006-11-01 |
| 1568884229 | Bryan Randolph Dds A Professional Dental Corp. | Clinic/Center | 1954 Del Paso Rd, Suite 101, Sacramento, CA 95834-7706 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784424 | Jonathan Robert Hayes | Dentist | 605 Commons Dr, Sacramento, CA 95825-6633 | 2020-09-09 |
| 1942814512 | Karisa Yamamoto | Dentist | 786 Still Breeze Way, Sacramento, CA 95831-5548 | 2020-09-01 |
| 1659981447 | Michael Steven Louie | Dentist | 7608 Bridgeview Dr, Sacramento, CA 95831-4235 | 2020-08-05 |
| 1902426950 | Yen Hai Nguyen | Dentist | 5870 Da Vinci Way, Sacramento, CA 95835-2326 | 2020-04-20 |
| 1598302432 | Alix Angelica Torres | Dentist | 7227 29th St Ste C, Sacramento, CA 95822-5005 | 2019-12-10 |
| 1912558289 | Yevhen Usachov | Dentist | 6175 Stockton Blvd Ste 260, Sacramento, CA 95824-4521 | 2019-09-26 |
| 1982250171 | Michelle Fat | Dentist | 99 Scripps Dr Ste 100, Sacramento, CA 95825-6317 | 2019-08-13 |
| 1639737414 | Katherine Co Tan | Dentist | 7850 Stockton Blvd Ste 160, Sacramento, CA 95823-4387 | 2019-06-05 |
| 1992362792 | Barnes Dentral Group, Inc | Dentist | 701 Howe Ave Ste B34, Sacramento, CA 95825-4604 | 2019-05-28 |
| 1679039960 | Reymond Bautista Dental Corporation | Dentist | 3640 Crocker Ave Ste 130, Sacramento, CA 95818-3970 | 2019-02-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
Please comment or provide details below to improve the information on MR. BRYAN CLARK RANDOLPH.
| 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.