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MR. RANDALL BLANK
NPI 1356884845
Peer Specialist in Sutter Creek, CA

Active since December 01, 2016
10877 CONDUCTOR BLVD, SUTTER CREEK, CA 95685(209) 223-6312 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Randall Blank NPPES

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

MR. RANDALL BLANK (NPI 1356884845) is an individual peer specialist in Sutter Creek, California and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1356884845
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. RANDALL BLANK
Location Address10877 CONDUCTOR BLVDSutter Creek, CA 95685-9687
Mailing Address10877 Conductor BlvdSutter Creek, CA 95685-9687 · (209) 223-6312
Phone(209) 223-6312
Sole ProprietorNo
Enumeration DateDecember 1, 2016
✔ NPI 1356884845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10877 CONDUCTOR BLVD, Sutter Creek, CA 95685
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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.

STEPHANIE ALCANTAR CMA
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
SYLVIA DESIREE-SOSA NEWLUN MFT
Marriage & Family Therapist
10877 CONDUCTOR BLVD, SUITE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
RENEE MICHELLE PAUL
Registered Nurse
10877 CONDUCTOR BLVD, STE 300
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
CHRIS FAMULARO
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
BELLA EYNGORINA
Marriage & Family Therapist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
TERESA KARNOW
Registered Nurse
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
KELLY TRAVERSO
Peer Specialist
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412
LINDA CRABTREE
Case Manager/Care Coordinator
10877 CONDUCTOR BLVD
SUTTER CREEK, CA 95685
Amador County (209) 223-6412

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 Blank's NPI number?

The NPI number for Randall Blank is 1356884845. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Randall Blank located?

Randall Blank practices at 10877 Conductor Blvd, Sutter Creek, CA 95685. The listed phone number is (209) 223-6312.

What is Randall Blank's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Randall Blank was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.