Active NPI
Randy Allen Beddoe, MD
- Family Medicine Physician
- Hanford, CA
National Provider Identifier
1740267426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G57182
- Practice address
- 1524 W Lacey Blvd
Suite 206
Hanford, CA 93230-5965 - Phone
- (559) 583-4662
- Fax
- (559) 583-4684
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G57182 | CA | Primary |
Addresses
Primary practice location
1524 W Lacey Blvd
Suite 206
Hanford, CA 93230-5965
Mailing address
1524 W Lacey Blvd
Suite 206
Hanford, CA 93230-5965
Phone (559) 583-4662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G57182 | Other | CA | CALIF. LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G57182 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanford Primary Care Medical Associates, Inc. | Family Medicine | Past | Accepting new patients |
| Aria Community Health Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aria Community Health Center Mobile 3
- Federally Qualified Health Center (FQHC)
- Lemoore, CA
- NPI 1235826116
-
- Family Medicine Physician
- Visalia, CA
- NPI 1770809055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1740267426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 W LACEY BLVD",
"address_2": "SUITE 206",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305965",
"telephone_number": "559-583-4662",
"fax_number": "559-583-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 W LACEY BLVD",
"address_2": "SUITE 206",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305965",
"telephone_number": "559-583-4662",
"fax_number": "559-583-4684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDDOE",
"first_name": "RANDY",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G57182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIF. LICENSE",
"identifier": "G57182",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.