Organization Active NPI

Randall R. Alessi OD, Inc

  • Optometrist
  • Laguna Hills, CA
National Provider Identifier
1578786547
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8651T Issued in CA
Legal business name
RANDALL R. ALESSI OD, INC
Practice address
25401 Alicia Pkwy
Ste. E
Laguna Hills, CA 92653-4958
Phone
(949) 951-8001
Fax
(949) 951-1552
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Randall Ralph Alessi, OD
Title
Doctor Owner
Phone
(949) 951-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8651T CA Primary

Addresses

Primary practice location

25401 Alicia Pkwy
Ste. E
Laguna Hills, CA 92653-4958

Mailing address

25401 Alicia Pkwy
Ste. E
Laguna Hills, CA 92653-4958
Phone (949) 951-8001

Other identifiers 1

IdentifierTypeStateIssuer
2743033MedicaidCA

National Provider Directory

National Provider Directory

Locations

3995 Alton Pkwy
Ste C
Irvine, CA 92606
Phone (949) 374-5377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1578786547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY",
            "address_2": "STE. E",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-951-8001",
            "fax_number": "949-951-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 ALICIA PKWY",
            "address_2": "STE. E",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534958",
            "telephone_number": "949-951-8001",
            "fax_number": "949-951-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL R. ALESSI OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "ALESSI",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "949-951-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8651T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2743033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.