MR. RANDALL S FORTUNA MD
NPI 1285607986
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Loma Linda, CA

Active since February 12, 2006PECOS EnrolledAccepts Medicare Assignment
11234 ANDERSON ST # 7100, LOMA LINDA, CA 92354(909) 558-4200(909) 558-2401 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Randall S Fortuna Md NPPES

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

MR. RANDALL S FORTUNA MD (NPI 1285607986) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Loma Linda, California, licensed in California (A68643) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (1994).

NPPES Registry Identity

NPI1285607986
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMR. RANDALL S FORTUNACredential: MD
Location Address11234 ANDERSON ST # 7100Loma Linda, CA 92354-2804
Mailing Address11175 Campus St Rm 21121Loma Linda, CA 92350-1700 · (095) 585-9599 · Fax (909) 558-0348
Fax(909) 558-2401
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1994
Enumeration DateFebruary 12, 2006
Last NPPES UpdateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
NPI 1285607986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in CA · A68643 Licensed in IL · 036109764 Licensed in AZ · 49534
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 036109764 (IL), 036-109764 (IL)
11234 ANDERSON ST # 7100, Loma Linda, CA 92354

Other Identifiers 5

Other07215075IL · Blue Shield Provider Numb
Medicaid036109764IL
OtherIL0138IL · John Deere
Medicaid934932AZ
OtherP00038024/CA5138IL · Railroad Medicare

Accepted Insurance

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

Mr. Randall S Fortuna 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 ID6406810076
PECOS Enrollment IDI20210929003118
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 92354 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
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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 Fortuna's NPI number?

The NPI number for Randall Fortuna is 1285607986. It was assigned to this individual provider in the NPPES registry on February 12, 2006.

Where is Randall Fortuna located?

Randall Fortuna practices at 11234 Anderson St # 7100, Loma Linda, CA 92354. The listed phone number is (909) 558-4200.

What is Randall Fortuna's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Randall Fortuna enrolled in Medicare?

Yes. Randall Fortuna 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.

What insurance does Randall Fortuna accept?

Health plans from Blue Cross Blue Shield of Arizona list Randall Fortuna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randall Fortuna was last updated on October 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.