Provider Demographics
NPI:1689755852
Name:ARAI, RANDY CHESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:CHESTER
Last Name:ARAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 J ST
Mailing Address - Street 2:SUITE 354
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3628
Mailing Address - Country:US
Mailing Address - Phone:916-733-6870
Mailing Address - Fax:916-454-0490
Practice Address - Street 1:3941 J ST
Practice Address - Street 2:SUITE 354
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3628
Practice Address - Country:US
Practice Address - Phone:916-733-6870
Practice Address - Fax:916-454-0490
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42756174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49102Medicare UPIN
CA00G427560Medicare ID - Type Unspecified