William Randall IV, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

139589 Issued in CA

Practice address

336 Oxford St
Chula Vista, CA 91911-3120

Phone

(619) 855-2429

NPI assigned

Mar 2, 2016

Reactivated

Dec 27, 2019

Sex

Male

Sole proprietor

Yes

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1518327618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HIGHLAND AVE UNIT 121",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507082",
            "telephone_number": "619-855-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 OXFORD ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113120",
            "telephone_number": "619-855-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Highland Ave Unit 121",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919507082",
            "country_code": "US",
            "telephone_number": "619-855-2429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "deactivation_date": "2019-12-21",
        "reactivation_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Florence Atienza Ramos
• Selene Ramos
• Robyn Rae Ramsey, MFT
• Rancho Family Medical Group, Inc.
• Rancho Family Medical Group, Inc.
• Victoria Ing Randolph
• Leslie Rangel Gonzalez, FNP
• Naudia Rangel
• Yahaira Rangel
• Allison Anne Rasche, OTR/L

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.