Individual provider Active NPI

Randall Deleon, M.D., MBA

  • Anesthesiology Physician
  • Loma Linda, CA
National Provider Identifier
1982053609
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A151070 Issued in CA
Practice address
11234 Anderson St
MC 2534
Loma Linda, CA 92354-2804
Phone
(909) 558-4000
NPI assigned
Jun 3, 2016
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A151070 CA Primary

Addresses

Primary practice location

11234 Anderson St
MC 2534
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St
MC 2534
Loma Linda, CA 92354-2804
Phone (909) 558-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827001643 CA Practitioner - Anesthesiology 4880011477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lunada Anesthesia ServicesGroup PAC ID 3971955840, 4 clinicians
Bright Anesthesia a Professional CorporationGroup PAC ID 4183114028, 14 clinicians

Practice addresses (Care Compare)

1200 Rosecrans Ave
Suite 110
Manhattan Beach, CA 90266-2470
Phone (424) 220-4400

6801 Park Ter
Suite 300
Los Angeles, CA 90045-9212
Phone (310) 665-7150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151070CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Anesthesia a Professional Corporation Anesthesiology CurrentSince Aug 25, 2025 Accepting new patients
Westside Anesthesia Services Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
R M Deleon M D Inc Anesthesiology Current Accepting new patients
Lunada Anesthesia Services Anesthesiology CurrentSince Dec 21, 2023 Accepting new patients
Torrance Anesthesia Medical Group Inc. Anesthesiology CurrentSince Aug 24, 2020 Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

1200 Rosecrans Ave
Ste 110
Manhattan Beach, CA 90266
Phone (424) 220-4400

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

4553 Glencoe Ave
Ste 100
Marina del Rey, CA 90292
Phone (310) 613-9688

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

1732 Aviation Blvd
Redondo Beach, CA 90278
Phone (310) 467-1394

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1982053609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "MC 2534",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "MC 2534",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A151070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.