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Search › California › 363A00000X

Randy Yergenson

NPI 1235510504 · on the registry since 2015 · sole proprietor

Practice

Address
5957 W Ramsey St
Banning, CA 92220
Phone
(951) 845-0313
Organisation at this address
Beaver Medical Group, Lp
Beaver Medical Group Ramsey Primary
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California