Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Randy DO

Individual provider Athletic Trainer · NPI 1538851480

Randy DO is a Physician Assistant in Sacramento, California. Qualified in 2023, 3 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

5536 Lackland Way
Sacramento, CA 95835-1540
Phone: (909) 434-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1538851480
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Permanente Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 10941 clinicians in the practice; 12 are shown here.

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