Individual provider Active NPI

Randy Alan Good, D.C.

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1730101981
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC18420 Issued in CA
Practice address
23502 Lyons Avenue Ste 102a
Santa Clarita, CA 91321
Phone
(661) 254-8890
Fax
(661) 254-8891
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC18420 CA Primary

Addresses

Primary practice location

23502 Lyons Avenue Ste 102a
Santa Clarita, CA 91321

Mailing address

23502 Lyons Avenue Ste 102a
Santa Clarita, CA 91321
Phone (661) 254-8890

Other identifiers 1

IdentifierTypeStateIssuer
P00160683OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000688 CA Practitioner - Chiropractic 5496913188 Practice locations: Santa Clarita, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23502 Lyons Ave
Suite 102a
Santa Clarita, CA 91321-2536
Phone (661) 254-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC18420CAMDChiropractor
18420CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1730101981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23502 LYONS AVENUE STE 102A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-254-8890",
            "fax_number": "661-254-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23502 LYONS AVENUE STE 102A",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "91321",
            "telephone_number": "661-254-8890",
            "fax_number": "661-254-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "RANDY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00160683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.