James Randall Elliott, MD, MPH
Individual provider Active NPI Public Health & General Preventive Medicine Physician · Edwards Afb, CA
NPI 1124081971 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1124081971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- License
- 95-230 (NM)
- Practice address
- 95 Amds/SGP
55 N. Wolfe Ave.
Edwards Afb, CA 93524-0001 - Phone
- (661) 277-1130
- Fax
- (661) 277-0688
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-230 | NM | MD | Aerospace Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 95-230 | NM | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 95-230 | NM | Yes |
Addresses
Primary practice location
95 Amds/SGP
55 N. Wolfe Ave.
Edwards Afb, CA 93524-0001
Mailing address
95 Amds/SGP
55 N. Wolfe Ave.
Edwards Afb, CA 93524-0001
Phone (661) 277-1130
Other providers in Edwards Afb, CA
- Nancyann N Cervantes
- William Robert Cole
- David I Davamony
- Asit Hirenkumar Dave
- Karen Ann Desocio
- Joshua Chad Ford
- Shunrie Geldore
- Kallyn Dorothy Harencak
- Michael Hasler
- Arlene Johnson
All providers in Edwards Afb, CA · Public Health & General Preventive Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.