Provider Type Icon

ROBERT LAWRENCE RANDALL MD NPI 1073566717


NPI Information

NPI: 1073566717
Provider Name: ROBERT LAWRENCE RANDALL, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: REGENTS OF THE UNIV OF CA

PECOS Registration: Yes

Address:
4860 Y ST STE 1700
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-3398
Get Directions

Robert Lawrence Randall, MD is an orthopaedic surgery in Sacramento, CA with 32 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Robert Lawrence Randall, MD NPI is 1073566717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

4860 Y ST STE 1700
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-3398

The NPI 1073566717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 9/5/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery360087-1205UTAHNo
22086X0206XSurgerySurgical Oncology360087-1205UTAHNo
32086X0206XSurgerySurgical OncologyG78312CALIFORNIANo
4207X00000XOrthopaedic SurgeryG78312CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D2579MEDICAIDUTAH

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.