Active NPI
Michael Anthony Randazzo, MD
- Internal Medicine Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A184835
- Practice address
- 1117 E Devonshire Ave
Hemet, CA 92543-3083 - Phone
- (951) 652-2811
- NPI assigned
- Apr 2, 2020
- Last updated
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A184835 | CA | Primary |
Addresses
Primary practice location
1117 E Devonshire Ave
Hemet, CA 92543-3083
Mailing address
28693 Old Town Front St Apt 210
Temecula, CA 92590-2787
Phone (858) 692-6711
Other practice location 1
1515 W Florida Ave
Hemet, CA 92543-3817
Phone (951) 414-4016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184835 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Temecula Valley Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Seven Star Medical Group Inc. | Current | Accepting new patients | |
| Seven Star Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Seven Star Medical Group Inc. | Current | Accepting new patients | |
| Seven Star Medical Group Inc. | Past | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
1515 W Florida Ave
Hemet, CA 92543
Phone (951) 929-1333
1515 W Florida Ave
Ste E
Hemet, CA 92543
Phone (714) 658-3121
41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700
28400 McCall Blvd
Ste B10
Menifee, CA 92585
Phone (951) 414-2020
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Interoperability endpoints
- michael.randazzo.p79@direct.kmsm.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Seven Star Radiology
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1265874135
-
dba Seven Star Nephrology
- Nephrology Physician
- Hemet, CA
- NPI 1710580808
-
dba Seven Star Family Care
- Family Medicine Physician
- Hemet, CA
- NPI 1346843422
-
dba Seven Star Mathias & Associates
- Internal Medicine Physician
- Hemet, CA
- NPI 1427651462
-
dba Seven Star Neurosurgery
- Neurological Surgery Physician
- Hemet, CA
- NPI 1063015154
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Manor Hospice
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
- NPI 1124365184
-
dba Good Heart Hospice & Palliative Care
- Community Based Hospice Care Agency
- Rancho Cucamonga, CA
- NPI 1902289267
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1003056292
-
dba Hemet Global Medical Center
- General Acute Care Hospital
- Hemet, CA
- NPI 1114239068
-
dba Menifee Global Medical Center
- General Acute Care Hospital
- Sun City, CA
- NPI 1467764308
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1457980427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28693 OLD TOWN FRONT ST APT 210",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902787",
"telephone_number": "858-692-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 E DEVONSHIRE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433083",
"telephone_number": "951-652-2811"
}
],
"practiceLocations": [
{
"address_1": "1515 W Florida Ave",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925433817",
"country_code": "US",
"telephone_number": "951-414-4016",
"fax_number": "951-929-1377",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDAZZO",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A184835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.