Individual provider Active NPI

Randall A Caldron, MD

  • Obesity Medicine (Internal Medicine) Physician
  • West Hills, CA
National Provider Identifier
1053475822
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
License
A66420 Issued in CA
Practice address
7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907
Phone
(818) 518-5980
Fax
(818) 337-2049
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A64420 CA
Internal Medicine Physician 207R00000X A64420 CA
Obesity Medicine (Internal Medicine) Physician 207RB0002X A66420 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907

Mailing address

7230 Medical Center Dr
Suite 302
West Hills, CA 91307-1907
Phone (818) 518-5980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050713001182 CA Practitioner - Internal Medicine 8527094200 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A64420CAMDInternal Medicine Physician
A66420CAMDInternal Medicine Physician
A68936CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Apr 1, 2015 Accepting new patients
County of Los Angeles CurrentSince Apr 1, 2015 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
Lompoc Valley Medical Center Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
County of Los Angeles Current Accepting new patients
Everest Medical Center, Inc. CurrentSince Aug 30, 2017 Accepting new patients
Nova Medical Center, a Professional Corporation Current Accepting new patients
Randall Caldron MD Inc PastSince Jul 15, 2005 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920

1108 N Oleander Ave
Compton, CA 90222
Phone (310) 763-2244

5400 Balboa Blvd
Ste 331
Encino, CA 91316
Phone (818) 386-8290

1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991

Interoperability endpoints

  • Direct secure messaging: randall.caldron.d1.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1053475822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-518-5980",
            "fax_number": "818-337-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDRON",
        "first_name": "RANDALL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A64420",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64420",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A66420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.