DR. RANDALL JAMES REA MD NPI 1174556724

NPI Information

NPI: 1174556724
Provider Name: DR. RANDALL JAMES REA, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
700 FREDERICK ST STE 203
SANTA CRUZ, CA
ZIP 95062
Phone: (831) 425-1906
Get Directions

DR. Randall James Rea, MD is a pulmonary disease internal medicine in Santa Cruz, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Randall James Rea, MD NPI is 1174556724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 FREDERICK ST STE 203
SANTA CRUZ, CA
ZIP 95062
Phone: (831) 425-1906
Fax: (831) 469-8764

The enumeration date for this NPI number is 7/8/2006 and was last updated on 11/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	G54615	CALIFORNIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	G54615	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GR0056730	MEDICAID	CALIFORNIA
2	A52753	MEDICARE UPIN
3	ZZZ37105Z	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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