| Dr Amelia Randolph, MD | |
|
3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678 | |
| (707) 521-4495 | |
| (707) 573-5421 |
| Full Name | Dr Amelia Randolph |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 3883 Airway Dr Ste 120, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093739708 | NPI | - | NPPES |
| 331190099 | Medicaid | ME | |
| A77253 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A77253 (California) | Secondary |
| 207P00000X | Emergency Medicine | A77253 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| 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 |
| Entity Name | Sonoma Valley Emergency Physicians Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710164629 PECOS PAC ID: 1355420191 Enrollment ID: O20080506000390 |
| Entity Name | San Joaquin Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588960413 PECOS PAC ID: 6305022047 Enrollment ID: O20110516000103 |
| Entity Name | Mendonoma Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083330807 PECOS PAC ID: 8729515515 Enrollment ID: O20241217004319 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amelia Randolph, MD 1001 Galaxy Way Ste 400, Concord, CA 94520-5725 Ph: (925) 225-5837 | Dr Amelia Randolph, MD 3883 Airway Dr Ste 120, Santa Rosa, CA 95403-1678 Ph: (707) 521-4495 |
Jacob Ortlinghaus, EMT-P Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 983 Sonoma Ave, Santa Rosa, CA 95404 Phone: 707-292-3046 | |
Barry Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405 Phone: 707-522-1573 | |
Dr. Ridgely Oliver Muller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 Fax: 626-397-5643 | |
John Tate Higgins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4044 | |
James John Mc Keith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Christina Marie Goodwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405 Phone: 707-547-5471 Fax: 707-525-5280 | |
Daniel T Matulich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-552-1573 |