NPIMap

Individual provider Active NPI

Randall Glenn Turner II, D.O.

  • Psychiatry Physician
  • Irvine, CA
National Provider Identifier
1164696993
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A10933 Issued in CA
Practice address
17782 Cowan
Suite a
Irvine, CA 92614-6030
Phone
(949) 722-7118
Fax
(949) 722-7119
NPI assigned
Apr 14, 2008
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A10933 CA Primary

Addresses

Primary practice location

17782 Cowan
Suite a
Irvine, CA 92614-6030

Mailing address

PO Box 18228
Irvine, CA 92623-8228
Phone (949) 955-2101

Other names 1

  • Jordan Randall Turner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120627000663 CA Practitioner - Psychiatry 8628233566 Reassigns benefits to 2 organizations
I20210901002266 UT Practitioner - Psychiatry 8628233566 Reassigns benefits to 1 organization
I20221006000353 ID Practitioner - Psychiatry 8628233566

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Kellogg MD IncGroup PAC ID 9032266127, 19 clinicians
Pacific Solstice Integrative ClinicGroup PAC ID 6608289681, 2 clinicians

Practice addresses (Care Compare)

17782 Cowan
Suite a
Irvine, CA 92614-6041
Phone (949) 722-7118

26732 Crown Valley Pkwy
Mission Viejo, CA 92691-6375
Phone (949) 486-8532

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10933CAMDAddiction (Substance Use Disorder) Counselor
20A10933CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Kellogg M.D. Inc Psychiatry CurrentSince Apr 27, 2012 Accepting new patients
Pacific Solstice Integrative Clinic Addiction Medicine CurrentSince Aug 18, 2024 Accepting new patients
Aspire365 Addiction Medicine CurrentSince Aug 1, 2022 Accepting new patients
Axis Mental Health, LLC Past Accepting new patients
Axis Mental Health LLC Past Accepting new patients
Axis Mental Health LLC Past Accepting new patients
True North Detox LLC Past Accepting new patients
Axis Mental Health LLC Past Accepting new patients
Breakaway Health Corporation Past Accepting new patients
South Shores Detoxllc Past Accepting new patients

Locations

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

17782 Cowan
Ste A
Irvine, CA 92614

26732 Crown Valley Pkwy
Ste 443
Mission Viejo, CA 92691
Phone (949) 200-7929

1048 Irvine Ave
Newport Beach, CA 92660
Phone (949) 340-2111

1501 E 16th St
Newport Beach, CA 92663
Phone (714) 366-6371

765 E 9000 S
Ste A2B
Sandy, UT 84094
Phone (801) 556-1977

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1164696993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18228",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926238228",
            "telephone_number": "949-955-2101",
            "fax_number": "949-390-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 COWAN",
            "address_2": "SUITE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146030",
            "telephone_number": "949-722-7118",
            "fax_number": "949-722-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "RANDALL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "TURNER",
            "middle_name": "RANDALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.