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

Randolph Wilson, PA

Individual provider Physician Assistant · NPI 1457496937

Randolph Wilson, PA is a Physician Assistant in Lamont, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8787 Hall Rd
Lamont, CA 93241
Phone: (661) 845-3731
Fax: (661) 845-1157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18766 (CA)

Record details

NPI number1457496937
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 1559, Attn: Ann Lee Clinica Sierra Vista, Bakersfield, CA 93302-1559

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