MR. RANDY JAMES CALLAHAN P.A.
NPI 1629246202
Physician Assistant in Fresno, CA

Q: What is Randy Callahan's NPI number?

The NPI number for Randy Callahan is 1629246202. It was assigned to this individual provider in the NPPES registry on February 15, 2008.

Q: What is Randy Callahan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Callahan was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 15, 2008

1322 E SHAW AVE STE 410, FRESNO, CA 93710(559) 226-1316(559) 226-1615 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Randy James Callahan P.a. NPPES

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

MR. RANDY JAMES CALLAHAN P.A. (NPI 1629246202) is an individual physician assistant in Fresno, California, licensed in California (PA12968) and active in the NPI registry since February 2008. He maintains a secondary practice location in San Leandro.

NPPES Registry Identity

NPI1629246202

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. RANDY JAMES CALLAHANCredential: P.A.

Location Address1322 E SHAW AVE STE 410Fresno, CA 93710-7904

Mailing Address1322 E Shaw Ave Ste 410Fresno, CA 93710-7904 · (559) 226-1316 · Fax (559) 226-1315

Phone(559) 226-1316

Fax(559) 226-1615

Sole ProprietorNo

Enumeration DateFebruary 15, 2008

Last NPPES UpdateOctober 8, 2020

NPPES CertifiedOctober 8, 2020

✔ NPI 1629246202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA12968

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1322 E SHAW AVE STE 410, Fresno, CA 93710

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Secondary Practice Location 1

Location 113939 E 14th St, Suite 150San Leandro, CA 94578-2601 · Phone (510) 343-8300 · Fax (510) 343-8301

Other Providers at the Same Location NPPES 15

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

MR. NOAH MICHAEL SARR FNP

Nurse Practitioner (Psychiatric/Mental Health)