Individual provider Active NPI

Randall K Harada, MD

  • Interventional Cardiology Physician
  • Vancouver, WA
National Provider Identifier
1316972334
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
61158290 Issued in WA
Practice address
2101 NE 139TH St Ste 360
Vancouver, WA 98686-2313
Phone
(360) 487-1965
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A87483 CA
Internal Medicine Physician 207R00000X 229038 MA
Cardiovascular Disease Physician 207RC0000X MD226647 OR
Cardiovascular Disease Physician 207RC0000X 229038 MA
Cardiovascular Disease Physician 207RC0000X 61158290 WA
Cardiovascular Disease Physician 207RC0000X A87483 CA
Interventional Cardiology Physician 207RI0011X 61158290 WA Primary

Addresses

Primary practice location

2101 NE 139TH St Ste 360
Vancouver, WA 98686-2313

Mailing address

406 Black Hills LN SW Ste a
Olympia, WA 98502-8144
Phone (360) 754-1737

Other practice location 1

406 Black Hills Ln SW Ste A
Olympia, WA 98502-8144
Phone (360) 754-1737

Other practice location 2

11480 Brookshire Ave
Suite 300
Downey, CA 90241-5018
Phone (650) 804-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100804000898 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577696079 Reassigns benefits to 2 organizations
I20210802002205 WA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 3577696079 Reassigns benefits to 3 organizations
I20250908003031 OR Practitioner - Cardiovascular Disease (Cardiology) 3577696079 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Pittsburgh School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7582

2121 NE 139TH St
Suite 360
Vancouver, WA 98686-2316
Phone (503) 413-7162

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

501 N Graham St
Suite 200
Portland, OR 97227-2000
Phone (503) 413-4488

Hospital & facility affiliations

  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87483CAMDPharmacist
A87483CAMDCardiovascular Disease Physician
229038MAMDCardiovascular Disease Physician
MD226647ORMDCardiovascular Disease Physician
61158290WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Jul 21, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 22, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 22, 2025 Accepting new patients
Pih Health Physicians CurrentSince Aug 15, 2020 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jul 21, 2025 Accepting new patients
Pih Health Physicians CurrentSince Aug 15, 2020 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 22, 2025 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 22, 2025 Accepting new patients
Pih Health Physicians Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 22, 2025 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Jan 1, 2025 Accepting new patients
Olympia Multi Specialty Clinic CurrentSince Jul 1, 2021 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 22, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 21, 2025 Accepting new patients
Pioneer Medical Group Inc. CurrentSince Aug 1, 2010 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Jan 1, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients

Locations

17777 Center Court Dr N
Ste 400
Cerritos, CA 90703
Phone (562) 229-9452

11480 Brookshire Ave
Downey, CA 90241
Phone (562) 862-0804

11480 Brookshire Ave
Ste 300
Downey, CA 90241
Phone (562) 862-2775

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

1040 NW 22nd Ave
Ste 630
Portland, OR 97210
Phone (503) 796-2743

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

19250 SW 65th Ave
Tualatin, OR 97062
Phone (503) 691-6582

406 Black Hills Ln SW
Ste A
Olympia, WA 98502
Phone (360) 754-1727

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

2121 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 213-0085

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rharada1593554@direct.lhs.org
  • Direct secure messaging: rharada596869@direct.multicare.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 10

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1316972334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLACK HILLS LN SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028144",
            "telephone_number": "360-754-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST STE 360",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862313",
            "telephone_number": "360-487-1965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Black Hills Ln SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028144",
            "country_code": "US",
            "telephone_number": "360-754-1737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11480 Brookshire Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415018",
            "country_code": "US",
            "telephone_number": "650-804-0280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARADA",
        "first_name": "RANDALL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87483",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229038",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD226647",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "229038",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "61158290",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A87483",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "61158290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.