Active NPI
Randye J Semple, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1275733909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22072
- Practice address
- 1520 San Pablo St
Ste 1652
Los Angeles, CA 90033-5321 - Phone
- (323) 442-6000
- Fax
- (323) 442-6001
- NPI assigned
- Jul 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY22072 | CA | |
| Psychologist | 103T00000X | 016941 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 016941 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY22072 | CA | |
| Clinical Psychologist | 103TC0700X | 016941 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 016941 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY22072 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 016941 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY22072 | CA | |
| Clinical Psychologist | 103TC0700X | PSY22072 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Ste 1652
Los Angeles, CA 90033-5321
Mailing address
1520 San Pablo St
Ste 1652
Los Angeles, CA 90033-5321
Phone (323) 442-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016941 | Other | NY | LICENSED PSYCHOLOGIST |
| PSY22072 | Other | CA | LICENSED PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22072 | CA | MD | Group Psychotherapy Psychologist |
| 22072 | CA | MD | Clinical Social Worker |
| 016941 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849
1520 San Pablo St
Ste 1652
Los Angeles, CA 90033
Phone (323) 442-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1427937390
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1275733909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "STE 1652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335321",
"telephone_number": "323-442-6000",
"fax_number": "323-442-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "STE 1652",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335321",
"telephone_number": "323-442-6000",
"fax_number": "323-442-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMPLE",
"first_name": "RANDYE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-20",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22072",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016941",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "016941",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY22072",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016941",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "016941",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY22072",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "016941",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY22072",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22072",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "016941",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "PSY22072",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.