Lisa Randolph, - Nurse Practitioner in San Luis Obispo, CA

Lisa Randolph, is a Nurse Practitioner - Family based in San Luis Obispo, California. Lisa Randolph is licensed to practice in California (license number 95002336) and her current practice location is 1010 Murray Ave, San Luis Obispo, California. She can be reached at her office (for appointments etc.) via phone at (805) 546-7600.

NPI number for Lisa Randolph is 1114393279 and her current mailing address is 4562 Obispo Rd, Atascadero, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114393279.

Contact Information

Lisa Randolph,
1010 Murray Ave,
San Luis Obispo, CA 93405-1806
(805) 546-7600
Not Available

Map and Direction




Provider's Profile

Full NameLisa Randolph
GenderFemale
SpecialityNurse Practitioner - Family
Location1010 Murray Ave, San Luis Obispo, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114393279
  • Provider Enumeration Date: 08/12/2015
  • Last Update Date: 08/12/2015

Medical Identifiers

Medical identifiers for Lisa Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114393279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95002336 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Randolph,
4562 Obispo Rd,
Atascadero, CA 93422-1531

Ph: () -
Lisa Randolph,
1010 Murray Ave,
San Luis Obispo, CA 93405-1806

Ph: (805) 546-7600

Reviews and Comments


Nurse Practitioner Nurses in San Luis Obispo, CA

John Garza, NP, LCSW
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1585 Kansas Ave, San Luis Obispo, CA 93405
Phone: 800-353-5400    
Lauren Elvira Mirabdollah, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 77 Casa St, Suite 201-204, San Luis Obispo, CA 93405
Phone: 805-269-1500    Fax: 805-269-1585
Michelle Alena Taylor, R.N., M.S.N., A.C.N.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1194 Pacific Street, Suite 100, San Luis Obispo, CA 93401
Phone: 805-781-9111    Fax: 805-788-0764
Avery John Paulson, RN, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401
Phone: 805-431-1334    
Michele L Day-brooks, RN/FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 705 Grand Ave, San Luis Obispo, CA 93401
Phone: 805-544-2478    
Jennifer Poe, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 Peach St Ste B, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-7640
Patricia M. Odum, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401
Phone: 805-543-4043    Fax: 805-543-4427

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.