Tristan Howard Randall

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104413 Issued in CA

Practice address

29995 Technology Dr Ste 306
Murrieta, CA 92563-2634

Phone

(442) 327-9311

Fax

(442) 327-9315

NPI assigned

Jul 6, 2015

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

High Desert Psychological ServicesGroup PAC ID 2860819125, 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• High Desert Psychological Services

  • Psychologist
  • Victorville, CA
  • NPI 1104463371

  Clinical

  Medicare reassignment Care Compare group NPD
• Coast to Coast Psychological Services

  • Psychologist
  • Victorville, CA
  • NPI 1699458570

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1043693369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15497 W SAND ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922910",
            "telephone_number": "442-327-9311",
            "fax_number": "442-327-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 306",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632634",
            "telephone_number": "442-327-9311",
            "fax_number": "442-327-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "TRISTAN",
        "middle_name": "HOWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rancho OB/GYN
• Rancho Oral and Facial Surgery Inc a Dental Practice of D Allen Pulsip
• Rancho Physical Therapy, Inc. (Rancho Physical Therapy)
• Rancho Physical Therapy, Inc. (Rancho Physical Therapy)
• Rancho Springs Anesthesia Partners, Inc
• Lisa Rander, CHW MSW ACSW
• Randle-Benjamin ABA Consultants LLC
• Ruben D. Rangel
• Stefany Ranshaw, BCBA
• Justin Craig Rasmusson

• Clinical Social Worker in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.