Individual provider Active NPI

Randall James Sorrentino, PA-C

  • Physician Assistant
  • Litchfield Park, AZ
National Provider Identifier
1588647374
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3649 Issued in AZ
Practice address
14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481
Phone
(623) 547-2600
Fax
(623) 547-1899
NPI assigned
Nov 25, 2005
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 7034950001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7209350001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7046960001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7057360001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7047150001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7045160001 AZ
Durable Medical Equipment & Medical Supplies 332B00000X 7629170001 AZ
Physician Assistant 363A00000X 3649 AZ Primary

Addresses

Primary practice location

14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481

Mailing address

3260 N Hayden Rd Ste 112
Scottsdale, AZ 85251-6650
Phone (602) 264-9100

Other practice location 1

13203 N 103rd Ave Ste H5
Sun City, AZ 85351-3032
Phone (623) 777-4747

Other practice location 2

2 N Central Ave Ste 120
Phoenix, AZ 85004
Phone (602) 296-4060

Other identifiers 2

IdentifierTypeStateIssuer
283684MedicaidAZ
3649OtherAZARIZONA LICENSE

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
I20090116000106 AZ Practitioner - Physician Assistant 2365505385 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians
Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

13203 N 103Rd Ave
Sun City, AZ 85351-3032
Phone (623) 777-4747

14044 W Camelback Rd
Suite 118
Litchfield Park, AZ 85340-9481
Phone (623) 547-2600

14300 W Granite Valley Dr
Suite A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7034950001AZMDDurable Medical Equipment & Medical Supplies
7045160001AZMDDurable Medical Equipment & Medical Supplies
7046960001AZMDDurable Medical Equipment & Medical Supplies
7047150001AZMDDurable Medical Equipment & Medical Supplies
7057360001AZMDDurable Medical Equipment & Medical Supplies
7209350001AZMDDurable Medical Equipment & Medical Supplies
7629170001AZMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Aug 19, 2011 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Novaspine Pain Institute, PLC Durable Medical Equipment & Medical Supplies CurrentSince Jan 1, 2023 Accepting new patients
I Am Wellness Az LLC CurrentSince Dec 1, 2025 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince Jan 1, 2023 Accepting new patients
Bmi423I CurrentSince Dec 1, 2025 Accepting new patients
Maria Gonzalez Berlari, MD LLC CurrentSince Dec 19, 2025 Accepting new patients
Progressive Pain Management Inc CurrentSince Dec 1, 2025 Accepting new patients
Michael F Esber DPM PC CurrentSince Dec 1, 2025 Accepting new patients
Arizona Digestive Health, PC CurrentSince Jan 21, 2026 Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Afc of Phoenix, PLLC PastSince Jun 1, 2020 Accepting new patients
Gold Star Medical LLC Past Accepting new patients
Med 97 LLC Past Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients
Casa Grande ASC, LLC Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717

14044 W Camelback Rd
Ste 118
Litchfield Pk, AZ 85340
Phone (623) 584-4882

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

535 E McKellips Rd
Ste 111
Mesa, AZ 85203
Phone (480) 223-1333

1616 E Indian School Rd
Ste 135
Phoenix, AZ 85016
Phone (480) 900-9355

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

3260 N Hayden Rd
Ste 112
Scottsdale, AZ 85251
Phone (602) 264-9100

13203 N 103rd Ave
Ste H4
Sun City, AZ 85351

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

11323 W Bell Rd
Surprise, AZ 85378

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

Organizations & group practices 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1588647374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N HAYDEN RD STE 112",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516650",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13203 N 103rd Ave Ste H5",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513032",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 N Central Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85004",
            "country_code": "US",
            "telephone_number": "602-296-4060",
            "fax_number": "602-296-4146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "RANDALL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7034950001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7209350001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7046960001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7057360001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7047150001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7045160001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "7629170001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283684",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE",
            "identifier": "3649",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.