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Deactivated NPI 1194803908 Deactivated / Inactive NPI Male Practitioner

Dr. Randolph S. Acedo , MD

Internal Medicine • Madera, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Randolph Acedo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date February 24, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Randolph Acedo, MD was a registered Internal Medicine practicing in Madera, CA. Throughout an active medical career spanning 14 years, Dr. Acedo provided care at the practice location at 344 E 6TH ST until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

344 E 6th St

Madera, CA 936383631

Telephone 5596644062

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Madera, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 26.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Madera, CA (18502 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G61401

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Soledad Reyes , FNP-C

Nurse Practitioner - Family

NPI 1003431172

Family Nurse Practitioner (Certified)

NPI 1003623901
Alondra Juarez

Social Worker - Clinical

NPI 1023609302
Madhuri Shukla , APRN

Nurse Practitioner

NPI 1023759883

Advanced Practice Registered Nurse

Laura Garcia , FNP, RN

Nurse Practitioner

NPI 1033220405

Family Nurse Practitioner, Registered Nurse

Harjeet Gill , NP

Nurse Practitioner - Family

NPI 1053035592

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 13, 2017

Registered at 344 E 6TH ST, MADERA, CA 936383631 (Tel: 5596644000)

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Updated Business Mailing Address March 13, 2017

Registered at 344 E 6TH ST, MADERA, CA 936383631 (Tel: 5596644000)

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Provider Name / Credentials Updated March 13, 2017

Recorded as RANDOLPH ACEDO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Internal Medicine (License #G61401 in CA)

NPI Profile Active January 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location January 30, 2015

Registered at 344 E 6TH ST, MADERA, CA 936383631 (Tel: 5596644062)

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Updated Business Mailing Address January 30, 2015

Registered at 344 E 6TH ST, MADERA, CA 936383631 (Tel: 5596644062)

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Provider Name / Credentials Updated January 30, 2015

Recorded as RANDOLPH ACEDO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2015

Internal Medicine (License #G61401 in CA)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194803908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: January 30, 2015
Deactivation Date: February 24, 2020

Mailing Address

344 E 6th St

Madera, CA 936383631

Phone: 5596644062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.