Randolph Jay Falk, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C41643 Issued in CA

Practice address

11030 Valley Mall
El Monte, CA 91731-2617

Phone

(626) 444-4545

Fax

(626) 444-8989

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1043294507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-444-4545",
            "fax_number": "626-444-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-444-4545",
            "fax_number": "626-444-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALK",
        "first_name": "RANDOLPH",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C41643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE #",
            "identifier": "C41643",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C416430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leticia Facundo
• Laura Fahey, PT, DPT
• Iliana Fajardo
• Jose Agapito Tiu Fajardo Jr., DMD
• Candice Falcon
• Family Health Care Center
• Sheung Lung Fan, BDS
• Hsien Fang, L.AC.
• Rozan Faouri, B.S.
• Arlen Farajian, O.D.

• Ophthalmology Physician in El Monte, CA
• Providers in El Monte, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.