Active NPI
Alan Randle, MD
- Occupational Medicine Physician
- Stockton, CA
National Provider Identifier
1932570322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- G27961
- Practice address
- 4114 Pebble Beach Dr
Stockton, CA 95219-1912 - Phone
- (209) 957-2335
- Fax
- (209) 957-2336
- NPI assigned
- Oct 12, 2015
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | G27961 | CA | Primary |
Addresses
Primary practice location
4114 Pebble Beach Dr
Stockton, CA 95219-1912
Mailing address
4719 Quail Lakes Dr
Suite G - 124
Stockton, CA 95207-5267
Phone (209) 957-2335
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27961 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1932570322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 QUAIL LAKES DR",
"address_2": "SUITE G - 124",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952075267",
"telephone_number": "209-957-2335",
"fax_number": "209-957-2336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4114 PEBBLE BEACH DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952191912",
"telephone_number": "209-957-2335",
"fax_number": "209-957-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "G27961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.