RANDOLPH BEASLEY
NPI 1992103170
Marriage & Family Therapist in Bakersfield, CA
About Randolph Beasley NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDOLPH BEASLEY (NPI 1992103170) is an individual marriage & family therapist in Bakersfield, California, licensed in California (120092) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Randolph Beasley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Randolph Beasley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bakersfield, CA 93304
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1669621447 (California)
- 264 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Randolph Beasley's NPI number?
The NPI number for Randolph Beasley is 1992103170. It was assigned to this individual provider in the NPPES registry on December 20, 2014.
Where is Randolph Beasley located?
Randolph Beasley practices at 12200 Lincolnshire Dr, Bakersfield, CA 93311. The listed phone number is (530) 522-8489.
What is Randolph Beasley's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Randolph Beasley enrolled in Medicare?
Yes. Randolph Beasley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Randolph Beasley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randolph Beasley reassigns Medicare benefits to Clinica Sierra Vista (Bakersfield, 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 Randolph Beasley'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 Randolph Beasley was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Randolph Beasley · NPI 1992103170
Marriage & Family Therapist provider in Bakersfield, California. Individual provider, active in the CMS NPPES registry since December 20, 2014.
## Identity
- **NPI:** 1992103170 (Entity type: Individual)
- **Enumerated:** December 20, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 120092 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12200 LINCOLNSHIRE DR, Bakersfield, CA 93311-9582
- **Phone:** (530) 522-8489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Clinica Sierra Vista (NPI 1073515425, Bakersfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2024
- **Other identifiers:** Other #95-2633765 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1992103170) · Data from the CMS NPPES public registry.