| 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 | 41 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 |
| Stanford Health Care - Valleycare | Pleasanton, CA | Hospital |
| 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 |
| 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 20055 Lake Chabot Rd, #110, Castro Valley, CA 94546 Phone: 510-886-3138 Fax: 510-373-1616 |