RANDALL THOMAS JR.
NPI 1043633902
Licensed Psychiatric Technician in San Luis Obispo, CA

Q: What is Randall Thomas's NPI number?

The NPI number for Randall Thomas is 1043633902. It was assigned to this individual provider in the NPPES registry on January 29, 2014.

Q: What is Randall Thomas's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Thomas was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2014

2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401(805) 438-3890 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Mar 24, 2025, Jan 8, 2025 (3 updates tracked since 2025).

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About Randall Thomas Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL THOMAS JR. (NPI 1043633902) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (34530) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1043633902

Entity TypeIndividualMale

Primary Taxonomy167G00000X

Provider Legal NameRANDALL THOMAS JR.

Location Address2975 MCMILLAN AVE STE 164San Luis Obispo, CA 93401-6768

Mailing Address2975 Mcmillan Ave Ste 164San Luis Obispo, CA 93401-6768 · (805) 438-3890

Phone(805) 438-3890

Sole ProprietorNo

Enumeration DateJanuary 29, 2014

Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1043633902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 34530

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

2975 MCMILLAN AVE STE 164, San Luis Obispo, CA 93401

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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