Individual provider Active NPI

Randall Scott Raun, M.D.

  • Family Medicine Physician
  • Corcoran, CA
National Provider Identifier
1518077916
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G42238 Issued in CA
Practice address
1310 Hanna Ave
Corcoran, CA 93212-2314
Phone
(559) 992-5057
Fax
(559) 992-4861
NPI assigned
Aug 30, 2006
Last updated
Dec 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G42238 CA Primary

Addresses

Primary practice location

1310 Hanna Ave
Corcoran, CA 93212-2314

Mailing address

PO Box 661597
Arcadia, CA 91066-1597
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00G422380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peachwood Medical Group Clovis Inc Family Medicine Current Accepting new patients
Terrace Emergency Physicians Medical Group, Inc. Past Accepting new patients
Oakdale Medical Group Inc Past Accepting new patients
Sierra Rural Physicians, Inc. Past Accepting new patients
Inland Empire Emergency Medical Group Inc Past Accepting new patients
Premier Emergency Physicians of California Medical Group PC Past Accepting new patients
Colusa Emergency Physicians Medical Group, Inc. Past Accepting new patients

Locations

275 W Herndon Ave
Clovis, CA 93612
Phone (559) 321-4255

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229817600000",
    "number": "1518077916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661597",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661597",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HANNA AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122314",
            "telephone_number": "559-992-5057",
            "fax_number": "559-992-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUN",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G422380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corcoran, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2008; 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.