Active NPI
Randall Lee Johnson, MD
- Emergency Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1841245057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G34657
- Practice address
- 19225 Woodlands Dr
Huntington Beach, CA 92648-5558 - Phone
- (562) 221-0224
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G34657 | CA | Primary |
Addresses
Primary practice location
19225 Woodlands Dr
Huntington Beach, CA 92648-5558
Mailing address
19225 Woodlands Dr Ste 209
Huntington Beach, CA 92648-5558
Phone (562) 221-0224
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930092507 | Other | CA | LA COMMUNITY RAILROAD |
| 00G346570 | Other | CA | BLUE SHIELD |
| 00G346570 | Other | CA | CALOPTIMA |
| 00G346570 | Medicaid | CA | |
| 050663CA46019 | Other | CA | LA COMMUNITY TRAILBLAZER |
| G34657 | Other | CA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34657 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
| Pediatrix Medical Group of California, a Professional Corporation | Past | Accepting new patients | |
| Emergency Department Physicians Medical Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Norwalk Community Emergency Physician Group Inc | Emergency Medicine | Past | Accepting new patients |
Locations
9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1346287430
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1730104498
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1942388947
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1316041833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1841245057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19225 WOODLANDS DR STE 209",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485558",
"telephone_number": "562-221-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19225 WOODLANDS DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926485558",
"telephone_number": "562-221-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RANDALL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G34657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA COMMUNITY RAILROAD",
"identifier": "930092507",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G346570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00G346570",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G346570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA COMMUNITY TRAILBLAZER",
"identifier": "050663CA46019",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G34657",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.