DR. NICHOLAS RYAN RANDOLPH D.C
NPI 1083355143
Chiropractor in Huntington Beach, CA
About Dr. Nicholas Ryan Randolph D.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS RYAN RANDOLPH D.C (NPI 1083355143) is an individual chiropractor in Huntington Beach, California, licensed in California (34913) and active in the NPI registry since April 2022. He is a graduate of Life Chiropractic College (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nicholas Ryan Randolph D.c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Nicholas Randolph reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hermosa Beach, CA 90254
- Reassigned Medicare billing, California enrollment
Hermosa Beach, CA 90254
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nicholas Randolph's NPI number?
The NPI number for Nicholas Randolph is 1083355143. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Nicholas Randolph located?
Nicholas Randolph practices at 7071 Warner Ave Ste C, Huntington Beach, CA 92647. The listed phone number is (313) 378-6702.
What is Nicholas Randolph's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Nicholas Randolph enrolled in Medicare?
Yes. Nicholas Randolph is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicholas Randolph's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Randolph reassigns Medicare benefits to 2 organizations: 100 Chiropractic Grant Hb Inc (Hermosa Beach, CA) and Helfrich Chiropractic Hermosa Beach PC (Hermosa Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicholas Randolph was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Nicholas Ryan Randolph, D.C · NPI 1083355143
Chiropractor provider in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1083355143 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 34913 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7071 WARNER AVE STE C, Huntington Beach, CA 92647-5444
- **Phone:** (313) 378-6702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): 100 Chiropractic Grant Hb Inc (NPI 1881584282, Hermosa Beach, CA); Helfrich Chiropractic Hermosa Beach PC (NPI 1164277000, Hermosa Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2020
## Record status
- **NPPES last updated:** May 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083355143) · Data from the CMS NPPES public registry.