Chester Julius Randle Jr., M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G74760 Issued in CA

Practice address

2121 George Mark LN
San Leandro, CA 94578-1017

Phone

(510) 346-4624

Fax

(510) 346-4620

NPI assigned

Feb 12, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• George Mark Childrens Fund

  • Child Physical Disabilities Respite Care
  • San Leandro, CA
  • NPI 1336200245
  NPD (past)
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962544577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6577 GLEN OAKS WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111175",
            "telephone_number": "510-339-1218",
            "fax_number": "510-339-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 GEORGE MARK LN",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781017",
            "telephone_number": "510-346-4624",
            "fax_number": "510-346-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "CHESTER",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G74760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ramos
• Ekaylah Noelle Rampola
• Valerie Ann Ramriez
• Mubasher Rana, MD
• Daniella Randall
• Jason Drew Ranieri, LMFT
• Ranjana Saxena MD Inc
• Shalini Rao, MD
• Rapid Response Testing LLC
• Naya Ryan Rashad

• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.