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RANDALL L STENSON MD
NPI 1164465357
Psychiatry & Neurology - Addiction Psychiatry in Sacramento, CA

Active since June 14, 2006PECOS Enrolled
2100 CAPITOL AVE, STE A, SACRAMENTO, CA 95816(916) 442-4985(916) 442-7154 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Randall L Stenson Md NPPES

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

RANDALL L STENSON MD (NPI 1164465357) is an individual addiction psychiatry provider in Sacramento, California, licensed in California (G25548) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1972).

NPPES Registry Identity

NPI1164465357
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameRANDALL L STENSONCredential: MD
Location Address2100 CAPITOL AVE, STE ASacramento, CA 95816-5721
Mailing Address2100 Capitol AveSacramento, CA 95816-5721 · (916) 442-4985 · Fax (916) 442-7154
Phone(916) 442-4985
Fax(916) 442-7154
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1972
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 4, 2019
✔ NPI 1164465357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CA · G25548
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License G25548 (CA), DEAX58196190 (CA)
2100 CAPITOL AVE, Sacramento, CA 95816
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall L Stenson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214959444
PECOS Enrollment IDI20051230000479
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.

Medicare Billing Reassignment

Medicare enrollment records show Randall Stenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

C O R E Medical Clinic Inc
Same address
Methadone
2100 CAPITOL AVE
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
NPI 1326283706 (916) 442-4985

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 20

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

CELIA GISO
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
TONI LEANNE BOTTA
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
LAURA MARIE JASTER
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
WEDDELL ORNETTE WADDELL
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
LORIE DESANTO
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE, SUITE A
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
SUERTE VALDEZ CRISOSTOMO
Licensed Vocational Nurse
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
CHRISTINE RENE BELL MD
Preventive Medicine (Addiction Medicine)
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985
MR. MICHAEL A BROOKS JR.
Counselor (Addiction (Substance Use Disorder))
2100 CAPITOL AVE
SACRAMENTO, CA 95816
Sacramento County (916) 442-4985

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 Randall Stenson's NPI number?

The NPI number for Randall Stenson is 1164465357. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Randall Stenson located?

Randall Stenson practices at 2100 Capitol Ave Ste A, Sacramento, CA 95816. The listed phone number is (916) 442-4985.

What is Randall Stenson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Randall Stenson enrolled in Medicare?

Yes. Randall Stenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randall Stenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Stenson reassigns Medicare benefits to C O R E Medical Clinic Inc (Sacramento, CA). The 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 Randall Stenson'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 Randall Stenson was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.