Randall Stewart

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26220 Issued in CA

Practice address

3580 Wilshire Blvd Ste 2000
Los Angeles, CA 90010-2533

Phone

(213) 381-1250

NPI assigned

Mar 11, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • La Habra, CA
  • NPI 1871818138
  Medicare reassignment NPD
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ontario, CA
  • NPI 1003546342
  NPD
• Friends of Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Tustin, CA
  • NPI 1922489665
  NPD

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1801212139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD STE 2000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102533",
            "telephone_number": "213-381-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD STE 2000",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102533",
            "telephone_number": "213-381-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "RANDALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Stewart
• Leslie A Stewart
• Leslie Datz Stewart, CNM
• Lisa Janelle Stewart
• Miiyoshi Rogers Stewart
• Renata Danielle Stewart
• Satya Deenah Stewart, MD
• Seth Stewart
• Steven Stewart
• Theresa Jean Stewart

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.