RANDELL TERRELL LEWIS MHRS
NPI 1609199918
Rehabilitation Practitioner in Oakland, CA
- Individual
- Male
- Rehabilitation Practitioner
About RANDELL LEWIS
This page provides the complete NPI Profile along with additional information for Randell Lewis, a provider established in Oakland, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1609199918 assigned on March 2010. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1609199918 Verify this NPI
- Provider Name
- RANDELL TERRELL LEWIS MHRS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 280 17TH ST STE B OAKLAND, CA 94612
- Location Phone
- (510) 238-5020
- Mailing Address
- 280 17TH ST OAKLAND, CA 94612
- Mailing Phone
- (510) 238-5020
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-02-2010
- Last Update Date
- 07-09-2026
- Code Navigator
Location Map
Secondary Locations
- 2101 Courage Dr
Fairfield, CA 94533
(707) 428-1131
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Rehabilitation Practitioner
- Taxonomy Code
- 225400000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License State
- CA
- Taxonomy Description
- A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 372600000X | Nursing Service Related Providers | Adult Companion |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609199918, enumerated as an "individual" on March 02, 2010.
The provider is located at 280 17TH ST STE B OAKLAND, CA 94612 and the phone number is (510) 238-5020.
Rehabilitation Practitioner with taxonomy code 225400000X.
