Individual provider · Type 1 NPI

Randy Steven Yergenson

Physician Assistant · Banning, CA

NPI number 1235510504 Active

Practice location

5957 W Ramsey St
Banning, CA 92220-3058

Call (951) 845-0313 Map

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X52591 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1235510504

Randy Steven Yergenson's National Provider Identifier is 1235510504, issued on Jun 12, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Banning, CA. The record was last updated on Sep 8, 2025.