Randall T. Louie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29356 Issued in CA

Practice address

2400 Westborough Blvd Ste 101
South San Francisco, CA 94080-5402

Phone

(650) 583-8866

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1407920119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805402",
            "telephone_number": "650-583-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805402",
            "telephone_number": "650-583-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "RANDALL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Isabel Lopez Rosas
• Emelin J Lopez
• Gioconda Lopez
• Los Angeles County Mih PC
• Justin Louie, DDS
• Sarah Suihuan Louie, PHARM.D.
• Tracy L. Loum
• James Lawrence Lowden
• Jessica B Lozada
• Maryfloriel Lozada

• General Practice Dentistry in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.