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Search › California › 390200000X

Kimini Randall

NPI 1285549121 · on the registry since 2026

Practice

Address
5201 Great America Pkwy Ste Santa
Santa Clara, CA 95054
Phone
(408) 562-6123
Organisation at this address
Cucumber Wellness, Inc.
El Roble Home Care, Llc
Agathos Laboratories, Inc.
Brian Licorish Psychiatry Llc
Mental Health Specialty Group Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
247

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
253Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-10-02

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