| Tristan Howard Randall, | |
|
29995 Technology Dr Ste 306, Murrieta, CA 92563-2634 | |
| (442) 327-9311 | |
| (442) 327-9315 |
| Full Name | Tristan Howard Randall |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 29995 Technology Dr Ste 306, Murrieta, 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 |
|---|---|---|---|
| 1043693369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 104413 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| High Desert Psychological Services | 2860819125 | 80 |
| Entity Name | High Desert Psychological Services |
|---|---|
| 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 |
Austin D Chavira, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24275 Jefferson Ave, Murrieta, CA 92562 Phone: 951-677-5599 | |
Megan Cordaro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24640 Jefferson Ave Ste 206, Murrieta, CA 92562 Phone: 951-347-0986 | |
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 | |
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: 28062 Baxter Rd Ste 230, Murrieta, CA 92563 Phone: 951-290-6530 | |
Arcelito Aggabao Glorioso, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38618 Falkirk Dr, Murrieta, CA 92563 Phone: 415-537-0640 |