Randy C Wirebaugh

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

340 N Madison Ave
Los Angeles, CA 90004-3504

Phone

(323) 644-2200

NPI assigned

Sep 21, 2016

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)

Not enrolled

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1699223495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11942 OLD RIVER SCHOOL RD",
            "address_2": "APT. 1",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422159",
            "telephone_number": "562-313-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N MADISON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043504",
            "telephone_number": "323-644-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIREBAUGH",
        "first_name": "RANDY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Winther, PH.D
• Silvi Winthrop, MA
• Kelsey Wintringham, MS, BCBA
• Daniel Wintroub
• James Wirch
• Wireless Diagnostic
• William Charles Wirshing, M.D.
• Edward Lawrence Wirt
• Hannah R Wirth, MD
• Paul Wirth, ROLFER, LMT

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.