Rand Carleton Lundmark, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A3651797 Issued in CA

Practice address

3517 Camino del Rio S Ste 407
San Diego, CA 92108-4028

Phone

(619) 955-8905

NPI assigned

Nov 9, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1467965681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 CAMINO DEL RIO S STE 407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084028",
            "telephone_number": "619-955-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CAMINO DEL RIO S STE 407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084028",
            "telephone_number": "619-955-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDMARK",
        "first_name": "RAND",
        "middle_name": "CARLETON",
        "name_prefix": "Mr.",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A3651797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalle Ellen Lunden, NP
• Debora Lundgren-Walls, CNM
• Daniel John Lundgren, P.T.
• Chase Lundin
• Katarina Lundin, DACM L.AC.
• Nathan Michael Lundquist
• Peggy Lundquist, DDS
• Christine Suzanne Lundstedt, FNP-C
• Jill M. Lundstrom, M.D.
• Michael Lundstrom

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.