Randall Bryan Beck

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT45136 Issued in CA

Practice address

2161 Rebecca Way
Lemon Grove, CA 91945-3340

Phone

(619) 549-8962

NPI assigned

Apr 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1770927907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 REBECCA WAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453340",
            "telephone_number": "619-549-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 REBECCA WAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919453340",
            "telephone_number": "619-549-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECK",
        "first_name": "RANDALL",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT45136",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "00238371",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "00770416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma Bandyrel, CNA
• Joshua Kyle Camerino Bantigue
• William Brydon Barr
• Ricardo Barron Jr.
• Rolando Bautistes, LVN
• Jessica Helen Bell, ASW
• Ana Sofia Bengel
• Marlon Benson
• Paula Best
• Mary Kathryn Betts

• Phlebotomy Technician in Lemon Grove, CA
• Providers in Lemon Grove, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.