Randall Pokomo, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G30095 Issued in CA

Practice address

330 Bellino Dr
Pacific Palisades, CA 90272-3103

Phone

(310) 445-9456

NPI assigned

May 13, 2006

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: rpokomo@exer.direct.codonix.com

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1619928694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BELLINO DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723103",
            "telephone_number": "310-445-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BELLINO DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723103",
            "telephone_number": "310-445-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKOMO",
        "first_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G30095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Patton, OTR/L
• Pharmaca Integrative Pharmacy, Inc.
• W. Kane Phelps
• Amanda Plath, MSW, LCSW, PMH-C
• Clarice Poirier
• Gary David Polan, O.D.
• Vicki Eileen Pollock, VICKI POLLOCK, PH.D.
• Renee S. Portenier, OTR
• David Vincent Powers, P.T.
• Thomas Harrison Price, RPH

• Emergency Medicine Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.