RANDALL ALAN ROARK N.P. NPI 1447312178

NPI Information

  • NPI: 1447312178
  • Provider Name: RANDALL ALAN ROARK, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1695 N SUNRISE WAY
    PALM SPRINGS, CA
    ZIP 92262
  • Phone: (760) 323-2118

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NPI Details

Randall Alan Roark, N.P. is a family nurse practitioner in Palm Springs, CA with 21 years of experience. Randall Alan Roark, N.P. NPI is 1447312178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1695 N SUNRISE WAY
PALM SPRINGS, CA
ZIP 92262-701
Phone: (760) 323-2118

The NPI 1447312178 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 12/16/2006 and was last updated on 11/12/2024.

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
1363LA2200XNurse PractitionerAdult Health568148CALIFORNIANo
2363LF0000XNurse PractitionerFamily15996CALIFORNIAYes

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

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