JOANNE BLAIR-RANDOLPH
NPI 1144351123
Nurse Practitioner in Lynwood, CA

Active since March 08, 2007PECOS Enrolled
2640 INDUSTRY WAY, LYNWOOD, CA 90262(310) 627-4525 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2026, Nov 23, 2022, Nov 18, 2022 (3 updates tracked since 2022).

About Joanne Blair-randolph NPPES

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

JOANNE BLAIR-RANDOLPH (NPI 1144351123) is an individual nurse practitioner in Lynwood, California, licensed in California (95019487) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144351123
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOANNE BLAIR-RANDOLPH
Location Address2640 INDUSTRY WAYLynwood, CA 90262-4284
Mailing Address2640 Industry WayLynwood, CA 90262-4284 · (323) 680-9031
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateApril 1, 20263 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
NPI 1144351123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95019487
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 793871 (CA)
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 189021 (CA)
2640 INDUSTRY WAY, Lynwood, CA 90262

Secondary Practice Locations 3

Location 13850 Crenshaw BlvdLos Angeles, CA 90008-1821 · Phone (323) 593-5300
Location 28836 S Vermont AveLos Angeles, CA 90044-4832 · Phone (323) 593-5300
Location 312440 Imperial Hwy Ste 116Norwalk, CA 90650-8347 · Phone (562) 565-6379

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joanne Blair-randolph 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 90262 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 20

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

Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Licensed Practical Nurse
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY, 2640 INDUSTRY WAY
LYNWOOD, CA 90262
Rehabilitation Practitioner
2640 INDUSTRY WAY
LYNWOOD, CA 90262

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 Joanne Blair-randolph's NPI number?

The NPI number for Joanne Blair-randolph is 1144351123. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Joanne Blair-randolph located?

Joanne Blair-randolph practices at 2640 Industry Way, Lynwood, CA 90262. The listed phone number is (310) 627-4525.

What is Joanne Blair-randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joanne Blair-randolph enrolled in Medicare?

Yes. Joanne Blair-randolph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joanne Blair-randolph was last updated on April 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.