DR. SAMUEL RANDOLPH M.D. NPI 1508068958

NPI Information

  • NPI: 1508068958
  • Provider Name: DR. SAMUEL RANDOLPH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11234 ANDERSON ST
    LLUMC HOUSE STAFF OFFICE CP 21005
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 558-1000

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NPI Details

DR. Samuel Randolph, M.D. is a diagnostic radiology radiology in Loma Linda, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Samuel Randolph, M.D. NPI is 1508068958. 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:

11234 ANDERSON ST
LLUMC HOUSE STAFF OFFICE CP 21005
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-1000

The NPI 1508068958 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

The enumeration date for this NPI number is 6/5/2007 and was last updated on 7/8/2007.

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
12085R0202XRadiologyDiagnostic RadiologyA97396CALIFORNIAYes

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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