Active NPI
Randall S. Hawkins, M.D.
- Neurology Physician
- San Diego, CA
National Provider Identifier
1205846797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G35063
- Practice address
- 300 Fir St
San Diego, CA 92101-2327 - Phone
- (619) 446-1539
- Fax
- (619) 446-1569
- NPI assigned
- Aug 8, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G35063 | CA | Primary |
Addresses
Primary practice location
300 Fir St
San Diego, CA 92101-2327
Mailing address
300 Fir St
San Diego, CA 92101-2327
Phone (619) 446-1539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G350630 | 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 |
|---|---|---|---|
| G35063 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1205846797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FIR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012327",
"telephone_number": "619-446-1539",
"fax_number": "619-446-1569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FIR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012327",
"telephone_number": "619-446-1539",
"fax_number": "619-446-1569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "RANDALL",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G35063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G350630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.