Randy Giorgio Munguia, RANDY

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

65813 Issued in CA

Practice address

9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225

Phone

(800) 787-6787

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1407386972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17709 CORTNER AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038119",
            "telephone_number": "17144581778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 CLAIREMONT MESA BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231225",
            "telephone_number": "800-787-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUIA",
        "first_name": "RANDY",
        "middle_name": "GIORGIO",
        "credential": "RANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "CA",
            "license": "65813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Mungovan, PT
• Mayra Munguia Reyna
• Jesus Angel Munguia
• Luis M Munguia
• Nubia Erendida Munguia I
• Yesenia Munguia
• Jacob Munhoz, MA, AMFT
• Sterling Matthew Munich
• Kiran Sufian Munir, M.D
• Saef Munir

• Recreation Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Recreation Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.