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DR. JOHN FRANKLIN RANDOLPH M.D.
NPI 1750389482
Family Medicine - Geriatric Medicine in San Bernardino, CA

Active since July 07, 2005PECOS Enrolled
410 E PARKCENTER CIR N, SAN BERNARDINO, CA 92408(909) 501-9932 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2019, May 8, 2017 (2 updates tracked since 2017).

About Dr. John Franklin Randolph M.d. NPPES

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

DR. JOHN FRANKLIN RANDOLPH M.D. (NPI 1750389482) is an individual geriatric medicine provider in San Bernardino, California, licensed in California (G48108) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750389482
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. JOHN FRANKLIN RANDOLPHCredential: M.D.
Location Address410 E PARKCENTER CIR NSan Bernardino, CA 92408-2869
Mailing AddressPo Box 7779Redlands, CA 92375-0779 · (951) 205-0937 · Fax (909) 580-1916
Phone(909) 501-9932
Sole ProprietorYes
Enumeration DateJuly 7, 2005
Last NPPES UpdateMay 17, 20192 updates tracked since enumeration
✔ NPI 1750389482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · G48108
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
410 E PARKCENTER CIR N, San Bernardino, CA 92408
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0065470CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Franklin Randolph M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Canyon Springs Medical Group, Inc.
12 mi
Family Medicine
26520 CACTUS AVE RM B2018
Moreno Valley, CA 92555
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1073669404 (951) 486-5610

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 92408 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 11

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

TOTAL LONGTERM CARE, INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 488-4258
NANCY ELIZABETH MAURER
Occupational Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-2800
STEMBILE MADAKIWE
Registered Nurse (General Practice)
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (949) 572-4873
CLERISSE ANN EWELIKE NP-C
Nurse Practitioner (Family)
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 890-2880
MARICELLE RANOLA RDN, MPH
Dietitian, Registered
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 366-4230
HARVEY ABONALES PT
Physical Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 314-3367
JOCELYN MARIANNA FUJARTE
Student in an Organized Health Care Education/Training Program
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 403-6950
MARLA FAYE DOWNS
Occupational Therapist
410 E PARKCENTER CIR N
SAN BERNARDINO, CA 92408
San Bernardino County (909) 677-7860

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 John Randolph's NPI number?

The NPI number for John Randolph is 1750389482. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is John Randolph located?

John Randolph practices at 410 E Parkcenter Cir N, San Bernardino, CA 92408. The listed phone number is (909) 501-9932.

What is John Randolph's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is John Randolph enrolled in Medicare?

Yes. John Randolph is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Randolph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Randolph reassigns Medicare benefits to Canyon Springs Medical Group, Inc. (Moreno Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Randolph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Randolph was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.