Tristan Howard Randall, | |
29995 Technology Dr Ste 306, Murrieta, CA 92563-2634 | |
(442) 327-9311 | |
(442) 327-9315 |
Full Name | Tristan Howard Randall |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 29995 Technology Dr Ste 306, Murrieta, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043693369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 104413 (California) | Primary |
Entity Name | High Desert Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
---|---|
Tristan Howard Randall, 15497 W Sand St, Victorville, CA 92392-2910 Ph: (442) 327-9311 | Tristan Howard Randall, 29995 Technology Dr Ste 306, Murrieta, CA 92563-2634 Ph: (442) 327-9311 |
Ms. Carol Farr, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40680 California Oaks Rd, Ste 2-d, Murrieta, CA 92562 Phone: 951-304-0882 Fax: 951-304-0884 | |
Matthew Ronald Hicks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 24885 Whitewood Rd Ste 105, Murrieta, CA 92563 Phone: 626-712-1865 | |
Rebecca Rose Clinton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 28078 Baxter Rd Ste 128, Murrieta, CA 92563 Phone: 951-704-1066 | |
Mrs. Alexia Padla Garcia, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25170 Hancock Ave, Murrieta, CA 92562 Phone: 951-461-9300 | |
Mr. David Cervantes Hernandez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41680 Ivy St Ste D, Murrieta, CA 92562 Phone: 614-549-0329 | |
Citlali Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29995 Technology Dr Ste 101, Murrieta, CA 92563 Phone: 951-816-1778 |