Provider Demographics
NPI:1245220060
Name:STARKEY, RANDALL ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDALL
Middle Name:ROBERT
Last Name:STARKEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2350 W EL CAMINO REAL
Mailing Address - Street 2:FL 2
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-6203
Mailing Address - Country:US
Mailing Address - Phone:510-204-8140
Mailing Address - Fax:510-849-0159
Practice Address - Street 1:5401 NORRIS CANYON RD
Practice Address - Street 2:SUITE 306
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5409
Practice Address - Country:US
Practice Address - Phone:925-277-0101
Practice Address - Fax:925-277-9086
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG518312084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG51831OtherSTATE MEDICAL LICENSE
CAGR0017862Medicaid
CA00G518310Medicare PIN