KIMINI RANDALL NPI 1285549121

NPI Information

NPI: 1285549121
Provider Name: KIMINI RANDALL
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 5201 GREAT AMERICA PKWY STE SANTA
SANTA CLARA, CA
ZIP 95054
Phone: (408) 562-6123

Map and Directions

Get Directions

NPI Details

Kimini Randall is a student in an organized health care education training program in Santa Clara, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kimini Randall NPI is 1285549121. 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:

5201 GREAT AMERICA PKWY STE SANTA
SANTA CLARA, CA
ZIP 95054-122
Phone: (408) 562-6123

The enumeration date for this NPI number is 8/17/2026 and was last updated on 8/17/2026.

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 State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	CALIFORNIA	No
2	171M00000X	Case Manager/Care Coordinator		CALIFORNIA	No
3	251S00000X	Community/Behavioral Health		CALIFORNIA	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness		CALIFORNIA	No
5	390200000X	Student in an Organized Health Care Education/Training Program		CALIFORNIA	Yes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI