Dr Jeffrey Blaine Randall, MD | |
20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 | |
(510) 886-3138 | |
(510) 373-1616 |
Full Name | Dr Jeffrey Blaine Randall |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 40 Years |
Location | 20055 Lake Chabot Rd, Castro Valley, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720046295 | NPI | - | NPPES |
00G687170 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | G68717 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eden Medical Center | Castro valley, CA | Hospital |
Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
John Muir Medical Center - Walnut Creek Campus | Walnut creek, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Bay Medical Foundation | 4284538778 | 2995 |
Entity Name | Sutter Bay Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Blaine Randall, MD 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 Ph: (510) 886-3138 | Dr Jeffrey Blaine Randall, MD 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 Ph: (510) 886-3138 |
Dr. Lawrence David Dickinson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 20055 Lake Chabot Rd, # 110, Castro Valley, CA 94546 Phone: 510-886-3138 Fax: 510-373-1616 | |
Dr. Ronnie Isaac Mimran, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 20055 Lake Chabot Rd, #110, Castro Valley, CA 94546 Phone: 510-886-3138 Fax: 510-373-1616 |