LINDA MARIE RANDOLPH MD
NPI 1255427324
Medical Genetics - Clinical Genetics (M.D.) in Los Angeles, CA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, MS# 90, LOS ANGELES, CA 90027(323) 669-2178(323) 665-5937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Linda Marie Randolph Md NPPES

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

LINDA MARIE RANDOLPH MD (NPI 1255427324) is an individual clinical genetics (m.d.) provider in Los Angeles, California, licensed in California (G56326) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1982).

NPPES Registry Identity

NPI1255427324
Entity TypeIndividualFemale
Primary Taxonomy207SG0201X
Provider Legal NameLINDA MARIE RANDOLPHCredential: MD
Location Address4650 W SUNSET BLVD, MS# 90Los Angeles, CA 90027-6062
Mailing Address6430 W Sunset Blvd, Suite 600Los Angeles, CA 90028-7901 · (323) 669-2337 · Fax (323) 644-8488
Fax(323) 665-5937
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1982
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255427324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License Licensed in CA · G56326
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
4650 W SUNSET BLVD, Los Angeles, CA 90027

Other Identifiers 3

Medicaid00G563260ACA
Medicare UPINE98638CA
Medicare ID-Type UnspecifiedWG56326BCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Linda Marie Randolph Md 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.

PECOS PAC ID1355618455
PECOS Enrollment IDI20170519002303
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.

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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Linda Randolph's NPI number?

The NPI number for Linda Randolph is 1255427324. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Linda Randolph located?

Linda Randolph practices at 4650 W Sunset Blvd Ms# 90, Los Angeles, CA 90027. The listed phone number is (323) 669-2178.

What is Linda Randolph's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Linda Randolph enrolled in Medicare?

Yes. Linda 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.

When was this NPI record last updated?

The NPPES record for Linda Randolph was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.