Organization Active NPI

Randall Hepworth

  • Pediatrics Physician
  • Folsom, CA
National Provider Identifier
1639396237
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G45570 Issued in CA
Legal business name
RANDALL HEPWORTH
Practice address
1000 River Rock Dr
# 114
Folsom, CA 95630-0367
Phone
(916) 989-2086
Fax
(916) 989-0367
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Randall Claud Hepworth, MDNPI 1336142215
Title
Physician
Phone
(916) 404-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X G45570 CA Primary
Clinical Medical Laboratory 291U00000X G45570 CA

Addresses

Primary practice location

1000 River Rock Dr
# 114
Folsom, CA 95630-0367

Mailing address

1000 River Rock Dr
# 114
Folsom, CA 95630-2093
Phone (916) 989-2086

Other identifiers 2

IdentifierTypeStateIssuer
LAB14087FOtherCAOFFICE LAB
G455701MedicaidCA

Other names 1

  • RIVER ROCK PEDIATRICS Doing business as

National Provider Directory

National Provider Directory

Locations

1000 River Rock Dr
Ste 114
Folsom, CA 95630
Phone (916) 989-2086

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1639396237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 RIVER ROCK DR",
            "address_2": "# 114",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956302093",
            "telephone_number": "916-989-2086",
            "fax_number": "916-989-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVER ROCK DR",
            "address_2": "# 114",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956300367",
            "telephone_number": "916-989-2086",
            "fax_number": "916-989-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL HEPWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "HEPWORTH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "CLAUD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-404-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G45570",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "G45570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE LAB",
            "identifier": "LAB14087F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G455701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER ROCK PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.