SAMANTHA BRIANNA RANDOLPH
NPI 1659960631
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since January 13, 2021
4601 S BROADWAY, LOS ANGELES, CA 90037(213) 223-5922 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Brianna Randolph NPPES

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

SAMANTHA BRIANNA RANDOLPH (NPI 1659960631) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1659960631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA BRIANNA RANDOLPH
Location Address4601 S BROADWAYLos Angeles, CA 90037-2729
Mailing Address325 W Adams Blvd # 7166Los Angeles, CA 90007-2659 · (817) 233-8702
Sole ProprietorNo
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
NPI 1659960631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4601 S BROADWAY, Los Angeles, CA 90037

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.

Student in an Organized Health Care Education/Training Program
4601 S BROADWAY
LOS ANGELES, CA 90037
Case Manager/Care Coordinator
4601 S BROADWAY
LOS ANGELES, CA 90037
Licensed Vocational Nurse
4601 S BROADWAY
LOS ANGELES, CA 90037
Case Manager/Care Coordinator
4601 S BROADWAY
LOS ANGELES, CA 90037
Case Manager/Care Coordinator
4601 S BROADWAY
LOS ANGELES, CA 90037
Student in an Organized Health Care Education/Training Program
4601 S BROADWAY
LOS ANGELES, CA 90037
Day Training/Habilitation Specialist
4601 S BROADWAY
LOS ANGELES, CA 90037
Licensed Vocational Nurse
4601 S BROADWAY
LOS ANGELES, CA 90037

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 Samantha Randolph's NPI number?

The NPI number for Samantha Randolph is 1659960631. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Samantha Randolph located?

Samantha Randolph practices at 4601 S Broadway, Los Angeles, CA 90037. The listed phone number is (213) 223-5922.

What is Samantha Randolph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Randolph was last updated on January 13, 2021. 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.