Randall Rasmussen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G32691 Issued in CA

Practice address

251 Birchwood Dr
Moraga, CA 94556-2302

Phone

(847) 388-2065

Fax

(866) 720-9740

NPI assigned

May 8, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1548473069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 BIRCHWOOD DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562302",
            "telephone_number": "847-388-2065",
            "fax_number": "866-720-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 BIRCHWOOD DR",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562302",
            "telephone_number": "847-388-2065",
            "fax_number": "866-720-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G32691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Perkins, NP
• Peter R. Nehrebecki, O.D.
• Paddy Rose Poupeney, MFT
• Professional Eyecare Optometry
• Michael Raffee
• Rheem Specialty Pharmacy, LLC
• Rheem Valley Healthcare, LLC (Rheem Valley Convalescent Hospital)
• Anna Frenklach Rief, M.D.
• Kevin C Robell, MA ATC EMT
• Jennifer E Roberts, MD

• Specialist in Moraga, CA
• Providers in Moraga, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.