Healthcare Provider Details

I. General information

NPI: 1891416558
Provider Name (Legal Business Name): RANDOLPH SENINING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 ISLANDS DR
BAKERSFIELD CA
93312-1944
US

IV. Provider business mailing address

7702 MEANY AVE STE 101
BAKERSFIELD CA
93308-5199
US

V. Phone/Fax

Practice location:
  • Phone: 661-703-4809
  • Fax:
Mailing address:
  • Phone: 661-843-7841
  • Fax: 661-864-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE PITTS
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 661-843-7841