Randy Steven Yergenson
Randy Steven Yergenson is a Physician Assistant in Banning, California. Qualified in 2015, 11 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
5957 W Ramsey StBanning, CA 92220-3058
Phone: (951) 845-0313
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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 52591 (CA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X (CA) |
Record details
| NPI number | 1235510504 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2015 |
| Last updated in NPPES | September 8, 2025 |
| Certification date | September 8, 2025 |
| Mailing address | Po Box 35380, Las Vegas, NV 89133-5380 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Beaver Medical Group P C — 255 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Banning
-
Mr. Neal Dixon, PA
264 Highland Springs Ave Bldg 1B, Banning, CA 92220-4823 · (951) 769-7191
-
MS. Yundell H Montalbo, PA
330 W Ramsey St, Banning, CA 92220 · (951) 849-1950