Active NPI
Randall H Chapman, MD
- Ophthalmology Physician
- Novato, CA
National Provider Identifier
1114093853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00A294500
- Practice address
- 1615 Hill Rd
Suite 8
Novato, CA 94947 - Phone
- (415) 897-1022
- Fax
- (415) 897-7272
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00A294500 | CA | Primary |
Addresses
Primary practice location
1615 Hill Rd
Suite 8
Novato, CA 94947
Mailing address
1615 Hill Rd
Suite 8
Novato, CA 94947
Phone (415) 897-1022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A294500 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A294500 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114093853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HILL RD",
"address_2": "SUITE 8",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-897-1022",
"fax_number": "415-897-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HILL RD",
"address_2": "SUITE 8",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-897-1022",
"fax_number": "415-897-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "RANDALL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "00A294500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A294500",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.