MS. RANDEE DENICE WILLIS PA-C
NPI 1073618260
Physician Assistant in Torrance, CA

Active since September 13, 2006PECOS Enrolled
23456 HAWTHORNE BLVD STE 100, TORRANCE, CA 90505(310) 540-5272(310) 540-7271 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Randee Denice Willis Pa-c NPPES

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

MS. RANDEE DENICE WILLIS PA-C (NPI 1073618260) is an individual physician assistant in Torrance, California, licensed in California (13139PA) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073618260
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. RANDEE DENICE WILLISCredential: PA-C
Location Address23456 HAWTHORNE BLVD STE 100Torrance, CA 90505-4752
Mailing Address24209 Park StTorrance, CA 90505-6554 · (310) 373-5022
Fax(310) 540-7271
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1073618260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 13139PA
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
23456 HAWTHORNE BLVD STE 100, Torrance, CA 90505

Other Identifiers 1

Other13139PACA · State License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Randee Denice Willis Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Dermatology
23456 HAWTHORNE BLVD STE 100
TORRANCE, CA 90505
Dermatology
23456 HAWTHORNE BLVD STE 100
TORRANCE, CA 90505
Dermatology
23456 HAWTHORNE BLVD STE 100
TORRANCE, CA 90505
Physician Assistant
23456 HAWTHORNE BLVD STE 100
TORRANCE, CA 90505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randee Willis's NPI number?

The NPI number for Randee Willis is 1073618260. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Randee Willis located?

Randee Willis practices at 23456 Hawthorne Blvd Ste 100, Torrance, CA 90505. The listed phone number is (310) 540-5272.

What is Randee Willis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Randee Willis enrolled in Medicare?

Yes. Randee Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Randee Willis was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.