Randy P. Hausted M.D. Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

RANDY P. HAUSTED M.D. INC

Practice address

10 Woodland Rd
St. Helena, CA 94574-9554

Phone

(707) 963-6288

Fax

(707) 967-5684

NPI assigned

Sep 9, 2005

Last updated

Aug 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randy P Hausted, M.D.

Title

Owner/ Pathologist

Phone

(707) 963-6288

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1548254139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270067",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631270067",
            "telephone_number": "707-241-8205",
            "fax_number": "314-856-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "ST. HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-6288",
            "fax_number": "707-967-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY P. HAUSTED M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "HAUSTED",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ PATHOLOGIST",
        "authorized_official_telephone_number": "707-963-6288",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G854360",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G854361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PSR Wellness LLC (Smith's St. Helena Pharmacy)
• Darrell B. Quirici, D.D.S.
• David R Racker, M.D.
• Analis Ramirez
• Pedro Javier Ramirez, M.D.
• Susan Raunegger, LCSW 81670
• Rcoa-Adventist Health, LLC (Adventist Health PET/CT - St. Helena)
• Lorelei Joyce Repique Bietz, M.D.
• Jay R Rezabek
• David L Rice, DDS

• Anatomic Pathology & Clinical Pathology Physician in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.