Active NPI
Randall Scott Raun, M.D.
- Family Medicine Physician
- Corcoran, CA
National Provider Identifier
1518077916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G42238
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G422380 | Medicaid | CA |
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
| Organization | Specialty | Status | New 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.
-
- General Practice Physician
- Clovis, CA
- NPI 1831170745
Family Medicine
-
- Emergency Medicine Physician
- Colusa, CA
- NPI 1891726816
-
- Emergency Medicine Physician
- Glendora, CA
- NPI 1730496688
-
- Emergency Medicine Physician
- Oakdale, CA
- NPI 1598862054
-
- Emergency Medicine Physician
- Corcoran, CA
- NPI 1770752545
-
- Emergency Medicine Physician
- Mariposa, CA
- NPI 1699890905
-
- Emergency Medicine Physician
- Sun Valley, CA
- NPI 1003195710
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
- Phenomenal Living LLC
- Michael Polder
- Laura Leigh Post, MD, PHD, JD
- Premier Emergency Physicians of California Medical Group PC
- Elizabeth Quevedo
- Ravi I Kumar MD Inc (Best Healthcare Center)
- Recover Medical Group PC
- Aliyah Redoble
- Reedley Community Hospital (Adventist Health Community Care-Corcoran East)
- Reedley Community Hospital (Adventist Health Reedley - Corcoran)
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.