Active NPI
Julianne E Randolph, DO
- Pediatrics Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A11064
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2245
- Fax
- (559) 635-6270
- NPI assigned
- Mar 12, 2010
- Last updated
- Mar 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 20A11064 | CA | Primary |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700
Other practice location 1
216 E Pine St
Exeter, CA 93221-1750
Phone (559) 592-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508189952 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11064 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children's Medical Group | Pediatrics | Current | Accepting new patients |
| Specialty Medical Group Central California, Inc. | Pediatrics | Past | Accepting new patients |
| Family Healthcare Network | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients | |
| Family Healthcare Network | Past | Accepting new patients | |
| Kaweah Delta Health Care District | Past | Accepting new patients | |
| Milestone Pediatrics Medical, P.C. | Pediatrics | Past | Accepting new patients |
| Kealani Sine MD Inc | Pediatrics | Past | Accepting new patients |
| Milestone Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
Interoperability endpoints
- juliannerandolph@trimed.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Federally Qualified Health Center (FQHC)
- Ivanhoe, CA
- NPI 1386670610
-
- Federally Qualified Health Center (FQHC)
- Three Rivers, CA
- NPI 1558454256
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
dba Milestone Pediatrics Medical, Inc.
- Pediatrics Physician
- Visalia, CA
- NPI 1750033411
-
- Pediatrics Physician
- Visalia, CA
- NPI 1811570211
-
- Pediatrics Physician
- Bakersfield, CA
- NPI 1326439977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1508189952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-5700",
"fax_number": "559-353-5708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2245",
"fax_number": "559-635-6270"
}
],
"practiceLocations": [
{
"address_1": "216 E Pine St",
"address_purpose": "LOCATION",
"city": "Exeter",
"state": "CA",
"postal_code": "932211750",
"country_code": "US",
"telephone_number": "559-592-2600",
"fax_number": "559-592-2610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDOLPH",
"first_name": "JULIANNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A11064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508189952",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.