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

Randall Lawrence Baldassarre, MD

Individual provider Diagnostic Radiology Physician · NPI 1568889921

Randall Lawrence Baldassarre, MD is a Diagnostic Radiology in San Diego, California. Graduated from University of California, San Diego School of Medicine in 2014, 12 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A138073 (CA)

Record details

NPI number1568889921
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2014
Last updated in NPPESJuly 17, 2019
Mailing addressPo Box 232410, San Diego, CA 92193-2410

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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