Shane Randall

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1459270926 Issued in CA

Practice address

1320 W Pearl St
Anaheim, CA 92801-5941

Phone

(714) 780-1174

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1568376648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W PEARL ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015941",
            "telephone_number": "714-780-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W PEARL ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015941",
            "telephone_number": "714-780-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "SHANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1459270926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yohanna Ramos
• Ramy Elias MD Inc
• Vaishali Rana
• Vinod G. Rana, DDS
• Leslie B. Rand-Luby, MD
• Thomas Sullivan Randall, MD
• Anantbir Singh Randhawa, MD
• Frederick Farrokh Randjbar, BOCPO
• Elana Ellen Randol, LCSW
• Daniela Rangel

• Addiction (Substance Use Disorder) Counselor in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.