Healthcare Provider Details

I. General information

NPI: 1447172812
Provider Name (Legal Business Name): RANDY THOMAS PPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 CLARK AVE
NORCO CA
92860-1903
US

IV. Provider business mailing address

2820 CLARK AVE
NORCO CA
92860-1903
US

V. Phone/Fax

Practice location:
  • Phone: 951-736-5111
  • Fax:
Mailing address:
  • Phone: 951-736-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number250122614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: