Individual provider Active NPI

Randy Michael Gines, ARMDS

  • Sonography Radiologic Technologist
  • South San Francisco, CA
National Provider Identifier
1881203313
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
144933 Issued in CA
Practice address
398 Cypress Ave Unit 321
South San Francisco, CA 94080-3775
Phone
(213) 281-1889
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 144933 CA Primary

Addresses

Primary practice location

398 Cypress Ave Unit 321
South San Francisco, CA 94080-3775

Mailing address

398 Cypress Ave Unit 321
South San Francisco, CA 94080-3775
Phone (213) 281-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
144933CAMDSonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1881203313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 CYPRESS AVE UNIT 321",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803775",
            "telephone_number": "213-281-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CYPRESS AVE UNIT 321",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803775",
            "telephone_number": "213-281-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINES",
        "first_name": "RANDY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ARMDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "144933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.