Tony D Randle, is a
Rehabilitation Practitioner based in Pasadena, California. Tony D Randle is licensed to practice in * (Not Available) (license number ) and his current practice location is
2055 Lincoln Ave, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 798-6793.
NPI number for Tony D Randle is 1528181567 and his current mailing address is 736 E Mission Rd, Apt C, San Gabriel, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528181567.
Healthcare Provider's Profile
| Full Name | Tony D Randle |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 2055 Lincoln Ave, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528181567
- Provider Enumeration Date: 04/06/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Tony D Randle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528181567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Tony D Randle 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 Address | Practice Location Address |
|---|
Tony D Randle,
736 E Mission Rd, Apt C,
San Gabriel, CA 91776-2856
Ph: (626) 287-1581 | Tony D Randle,
2055 Lincoln Ave,
Pasadena, CA 91103-1324
Ph: (626) 798-6793 |
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