ATTIYA HARIT RANDOLPH MD
NPI 1316566003
Internal Medicine - Rheumatology in Arroyo Grande, CA

Q: What is Attiya Randolph's NPI number?

The NPI number for Attiya Randolph is 1316566003. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Q: What is Attiya Randolph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Attiya Randolph was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment

850 FAIR OAKS AVE STE 220, ARROYO GRANDE, CA 93420(805) 547-2224(805) 474-5248 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2025, Sep 2, 2025, May 19, 2020 and 1 more (4 updates tracked since 2020).

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About Attiya Harit Randolph Md NPPES

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

ATTIYA HARIT RANDOLPH MD (NPI 1316566003) is an individual rheumatology provider in Arroyo Grande, California, licensed in California (A204791) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2020).

NPPES Registry Identity

NPI1316566003

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameATTIYA HARIT RANDOLPHCredential: MD

Location Address850 FAIR OAKS AVE STE 220Arroyo Grande, CA 93420-3929

Mailing Address850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · (805) 547-2224 · Fax (805) 474-5248

Phone(805) 547-2224

Fax(805) 474-5248

Sole ProprietorYes

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2020

Enumeration DateApril 13, 2020

Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1316566003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in CA · A204791

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

850 FAIR OAKS AVE STE 220, Arroyo Grande, CA 93420

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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 and accepts Medicare assignment

Attiya Harit 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 ID1052815230

PECOS Enrollment IDI20250919002024

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 Attiya Randolph reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacific Central Coast Health Centers

Same address

Community Health

850 FAIR OAKS AVE STE 220
Arroyo Grande, CA 93420

Reassigned Medicare billing, California enrollment
263 clinicians in this Medicare group

NPI 1831764117 (805) 547-2224

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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 7

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

ENA SHARMA M.D.

Internal Medicine (Rheumatology)