Randall Glenn Turner II, D.O.
Individual provider Active NPI Psychiatry Physician · Irvine, CA
NPI 1164696993 · NPPES record last updated Feb 23, 2015
Key facts
- NPI
- 1164696993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 20A10933 (CA)
- Practice address
- 17782 Cowan
Suite a
Irvine, CA 92614-6030 - Phone
- (949) 722-7118
- Fax
- (949) 722-7119
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jason Kellogg MD Inc
Pacific Solstice Integrative Clinic
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
- Huntington Beach Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, UT, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10933 | CA | MD | Psychiatry Physician |
| 10933 | CA | MD | Pediatric Occupational Therapist |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Kellogg M.D. Inc | Psychiatry | Current |
Accepting new patients |
| Aspire365 | Addiction Medicine | Current |
Accepting new patients |
| Pacific Solstice Integrative Clinic | Addiction Medicine | Current |
Accepting new patients |
| Breakaway Health Corporation | Past | Accepting new patients | |
| True North Detox 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 | |
| Axis Mental Health LLC | Past | Accepting new patients | |
| South Shores Detoxllc | Past | Accepting new patients |
Locations
1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377
17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473
17782 Cowan
Ste A
Irvine, CA 92614
26732 Crown Valley Pkwy
Ste 443
Mission Viejo, CA 92691
Phone (949) 200-7929
1501 E 16th St
Newport Beach, CA 92663
Phone (714) 366-6371
1048 Irvine Ave
Newport Beach, CA 92660
Phone (949) 340-2111
765 E 9000 S
Ste A2B
Sandy, UT 84094
Phone (801) 556-1977
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 20A10933 | CA | Yes |
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
- Jordan Randall Turner
Other providers in Irvine, CA
- Ahmet Cemal Tural
- Kascha Cathleen Turchi
- Amanda Turmunkh
- Daquan Turner
- Jill D Turner
- Tabitha Turner
- Trevor Kiyoshi Turner
- Turning Tides Treatment Center
- Tustin Irvine Medical Group, Inc
- Tustin Irvine Medical Group, Inc.
All providers in Irvine, CA · Psychiatry 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 Feb 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.