IndividualActive
Randy Van
NPI 1205626520 · Peer Specialist · Fresno, CA
Randy Van is a Peer Specialist provider in Fresno, CA (NPI 1205626520).
Provider details
- NPI number
- 1205626520
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Phone: (559) 443-4800
Street-level locationGet directions
Mailing address
2560 W Shaw Ln Ste 104
Fresno, CA 93711-2777
Additional practice locations (2)
- 4939 E Yale AveFresno, CA 93727-1523Phone: (559) 443-4800
- 2020 High St Ste ESelma, CA 93662-3518Phone: (559) 443-4800
Registry dates
- Enumerated
- 2025-05-09
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Frequently asked questions
- What is Randy Van's NPI number?
- Randy Van's National Provider Identifier (NPI) is 1205626520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randy Van's specialty?
- Randy Van is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Randy Van located?
- Randy Van's practice location on file with NPPES is 2560 W Shaw Ln Ste 104, Fresno, CA 93711-2777.
- What is Randy Van's phone number?
- The practice phone number listed in the NPPES registry for Randy Van is (559) 443-4800.
- Is Randy Van's NPI active?
- Yes — Randy Van's NPI (1205626520) is active in the NPPES registry as of the last update on 2025-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.