Individual provider Active NPI

Randall S Templeton, PA-C

  • Medical Physician Assistant
  • Renton, WA
National Provider Identifier
1649372517
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10003718 Issued in WA
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(425) 228-3450
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10003718 WA Primary

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

PO Box 24584
Seattle, WA 98124-0584
Phone (425) 656-4255

Other identifiers 2

IdentifierTypeStateIssuer
206918OtherWALABOR&INDISTRIES PROV #
4065TEOtherWAREGENCE B/S PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000675 WA Practitioner - Physician Assistant 7214948280 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 13TH St
Everett, WA 98201-1689
Phone (425) 252-0895

3726 Broadway
Everett, WA 98201-3788

4225 Hoyt Ave
Everett, WA 98203-2351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2016 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 5, 2024 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2016 Accepting new patients
Multicare Health System CurrentSince Jan 2, 2016 Accepting new patients
Providence Health & Services- Washington CurrentSince Apr 3, 2024 Accepting new patients
Eastside Emergency Physicians PLLC CurrentSince Mar 1, 2013 Accepting new patients
Multicare Health System CurrentSince Jan 2, 2016 Accepting new patients
Eastside Emergency Physicians, PLLC CurrentSince Mar 1, 2013 Accepting new patients
Franciscan Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Jul 5, 2024 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Western Washington Medical Group, Inc PS Past Accepting new patients
Ballard Emergency Physicians, P.S. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

1802 Yakima Ave
Ste 104
Tacoma, WA 98405
Phone (253) 426-6272

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1649372517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24584",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240584",
            "telephone_number": "425-656-4255",
            "fax_number": "425-656-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-228-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLETON",
        "first_name": "RANDALL",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR&INDISTRIES PROV #",
            "identifier": "206918",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE B/S PROV #",
            "identifier": "4065TE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.