DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JACQUELINE RANDA PT

MEDICARE: DR. JACQUELINE RANDA PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT28176CA
22251X0800XOrthopedic Physical Therapist2845NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00066377OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
154220ZZZ07464ZOTHERCABLUE SHIELD PIN

General Provider Information

NPI Number : 1013919349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE RANDA PT
Provider Business Mailing Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 702-777-3122
Fax Number : 702-777-3055
Provider Business Practice Location Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 702-777-3122
Fax Number : 702-777-3055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 07/23/2013

Similar Medicare Providers

1396617593 — CHRIS PROMPRASERT
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 909-667-0126
Practice Fax:
1720942329 — ALYSHA BERRES PA-C
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 443-640-5011
Practice Fax:
1134081870 — DARYA KLIMEK FNP
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 702-777-8687
Practice Fax:
1821090473 — DARLINA KESEG MANTHEI DO
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 702-777-4809
Practice Fax: 702-777-4822
1700878287 — DR. ROBERT E KESSLER D.O.
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 702-777-4809
Practice Fax: 702-777-4822
1275511099 — DR. ANDREW MARK EISEN MD
Practice Location Address:
874 AMERICAN PACIFIC DR
HENDERSON, NV
89014-8800
Practice Phone: 702-777-8687
Practice Fax: 702-777-4830

Directions to “ DR. JACQUELINE RANDA PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.