NPI
Randall Craig Medefesser
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2009-07-07
- Last updated
- 2009-07-07
Specialties
Licenses
- License CA
- 54502
Location
- Practice location
- 1149 Oakwood Drive
- City
- Millbrae CA
- Postal code
- 94030
- Phone
- (650) 367-4300
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Millbrae, CA. 223 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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