Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall James Law, PA-C

Individual provider Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1134647019

Randall James Law, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2017, 9 years ago. Practices with Complete Family Care PLLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and South Dakota.

Years since qualifying
9
Licensed in
ID, SD
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 685 1st St, Idaho Falls, ID 83401-4003 — (208) 520-8239
  • 242 E 7th N Ste 4, Rexburg, ID 83440-3550 — (208) 419-3002

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1108 (SD)
Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0808X · Licence PA1797 (ID)

Record details

NPI number1134647019
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Complete Family Care Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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