Marcus Xavier Allen Randolph

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117483 Issued in CA

Practice address

1039 Garden St
East Palo Alto, CA 94303-1748

Phone

(650) 229-9784

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1790578078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 BAINES ST",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943032556",
            "telephone_number": "650-248-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 GARDEN ST",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031748",
            "telephone_number": "650-229-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "MARCUS",
        "middle_name": "XAVIER ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nishi Lata Prasad-Srikrish, PT, DPT
• Erma J. Prothro
• Beatriz Arlen Ramirez Burciaga
• Kimberly Yasmin Ramirez, RN
• Susan Marie Rand-Baker
• Lizette Gabriela Rangel Balleza, LVN
• Ravenswood City School District
• Sylvia Recinos
• Retraining the Village
• Renee Reyes

• Marriage & Family Therapist in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.