MR. RANDOLPH CHAMBERS NPI 1336463397

NPI Information

NPI: 1336463397
Provider Name: MR. RANDOLPH CHAMBERS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1796 BAY RD
EAST PALO ALTO, CA
ZIP 94303
Phone: (650) 462-6999
Get Directions

MR. Randolph Chambers is an addiction (substance use disorder) counselor in East Palo Alto, CA. MR. Randolph Chambers NPI is 1336463397. 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:

1796 BAY RD
EAST PALO ALTO, CA
ZIP 94303-611
Phone: (650) 462-6999
Fax: (650) 462-1055

The enumeration date for this NPI number is 3/19/2010 and was last updated on 10/28/2011.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4100274LN	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	410027AN	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	Other Provider Identifier Issuer
1	WALKERHOUSE2	MEDICAID	CALIFORNIA
2	WILLIAMSHOUSE I &II	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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