RANDY SCOTT ADARGO, COTA/L — NPI 1629963483 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation in BREA, CA)

CMS-1500 Box 24J / 33a • NPI

1629963483

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TR0400X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation

Box 32 Service Location & ZIP+4

500 W CENTRAL AVE, BREA, CA, 92821-3027

✓ 9-Digit EDI 837 ZIP+4 (92821-3027)

Practice Phone & Referral Fax

(626) 825-8551

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629963483 (RANDY SCOTT ADARGO, COTA/L) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629963483` (NPI-1 Individual Practitioner)
Provider / Legal Name	RANDY SCOTT ADARGO, COTA/L
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation NUCC Code: `103TR0400X` (Psychologist, Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 W CENTRAL AVE, BREA, CA, 92821-3027
Practice Telephone / Fax	Tel: (626) 825-8551
Administrative Mailing Address	7221 TURNING LEAF PL, RANCHO CUCAMONGA, CA, 91701-9268
Enumeration & Last Sync	Enumerated: 2025-06-11 \| CMS Record Updated: 2025-06-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 W CENTRAL AVE, BREA, CA, 92821-3027

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Plain-English Taxonomy & CMS Crosswalk (103TR0400X)

What Does Taxonomy Code 103TR0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TR0400X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RANDY SCOTT ADARGO, COTA/L)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TR0400X` — Psychologist, Rehabilitation Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Rehabilitation	State: CA \| License: `4221` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RANDY SCOTT ADARGO, COTA/L (NPI #1629963483)