Randolph Biglangawa Roxas, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A62628 Issued in CA

Practice address

18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506

Phone

(209) 928-5400

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sonora Community Hospital

  dba Greenley Primary Care

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854
  Medicare reassignment NPD
• Sonora Community Hospital

  dba Forest Road Health & Wellness Center

  • Rural Health Clinic/Center
  • Sonora, CA
  • NPI 1003014952
  NPD
• Tuolumne Mewuk Indian Health Center, Inc

  • Family Medicine Physician
  • Tuolumne, CA
  • NPI 1619952397

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1174560072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18880 CHERRY VALLEY BLVD",
            "city": "TUOLUMNE",
            "state": "CA",
            "postal_code": "953799506",
            "telephone_number": "209-928-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18880 CHERRY VALLEY BLVD",
            "city": "TUOLUMNE",
            "state": "CA",
            "postal_code": "953799506",
            "telephone_number": "209-928-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROXAS",
        "first_name": "RANDOLPH",
        "middle_name": "BIGLANGAWA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A62628",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A62628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THP71070F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FQ622X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maynord's Chemical Dependency Recovery Centers
• Nathaniel Methot, NP
• Margaret Mary Panella-Spangler, RPH, MS, RD
• Kenneth Keeney Renwick, Jr., MD, MPH, FAAFP
• Nicole Michelle Rincon, PA-C
• James Schuler
• Natalie Somboonsook
• Kabita Michelle Steiny, FNP-C
• Alexandra Patricia Thomas, FNP
• Tuolumne Me-Wuk Indian Health Center (Tuolumne Me Wuk Indian Health Center Pharmacy)

• Psychiatry Physician in Tuolumne, CA
• Providers in Tuolumne, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.