Individual provider Active NPI

Jason A Randall, PA-C

  • Physician Assistant
  • Chandler, AZ
National Provider Identifier
1467408690
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3437 Issued in AZ
Practice address
2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674
Phone
(480) 345-2031
Fax
(480) 491-2767
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3437 AZ
Surgical Physician Assistant 363AS0400X 3437 AZ
Physician Assistant 363A00000X 3437 AZ Primary

Addresses

Primary practice location

2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674

Mailing address

2905 W Warner Rd Ste 23
Chandler, AZ 85224-1674
Phone (480) 345-2031

Other identifiers 1

IdentifierTypeStateIssuer
097774MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000090 AZ Practitioner - Physician Assistant 2668417460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Az Orthopedics LLCGroup PAC ID 7810365145, 12 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 225
Scottsdale, AZ 85258-4536
Phone (480) 697-4824

10290 N 92ND St
Suite 101
Scottsdale, AZ 85258-4508
Phone (480) 697-4824

13660 N 94TH Dr
Suite C4
Peoria, AZ 85381-4841
Phone (480) 697-4824

Hospital & facility affiliations

  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3437AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Az Orthopedics LLC Physician Assistant CurrentSince Jun 18, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physician Assistant Past Accepting new patients

Locations

13660 N 94th Dr
Ste C4
Peoria, AZ 85381
Phone (480) 697-4824

10200 N 92nd St
Ste 225
Scottsdale, AZ 85258
Phone (480) 391-3885

10290 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 697-4824

Interoperability endpoints

  • Direct secure messaging: jason.randall.1@27410.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467408690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-345-2031",
            "fax_number": "480-491-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 W WARNER RD STE 23",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241674",
            "telephone_number": "480-345-2031",
            "fax_number": "480-491-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3437",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3437",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097774",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.