Individual provider Active NPI

Randy Torres Jr., FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1821889585
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
324485 Issued in AZ
Practice address
1510 E Flower St
Phoenix, AZ 85014-5656
Phone
(602) 954-0444
NPI assigned
May 13, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 324485 AZ
Internal Medicine Physician 207R00000X 324485 AZ
Family Nurse Practitioner 363LF0000X 324485 AZ Primary

Addresses

Primary practice location

1510 E Flower St
Phoenix, AZ 85014-5656

Mailing address

2113 S 114TH Ave
Avondale, AZ 85323-9181
Phone (623) 433-6783

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
I20250723003076 AZ Practitioner - Nurse Practitioner 2062928237 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Solutions - Hov LLCGroup PAC ID 1456644780, 20 clinicians

Practice addresses (Care Compare)

1510 E Flower St
Phoenix, AZ 85014-5656
Phone (602) 954-0444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mulberry Medical LLC Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
Geriatric Solutions - Hov, LLC CurrentSince Jul 21, 2025 Accepting new patients
Traditions Health Palliative Care of Arizona, LLC CurrentSince Sep 5, 2025 Accepting new patients
Plastic and Peripheral Nerve Surgery LLC PastSince Aug 11, 2025 Accepting new patients

Locations

5355 W Chandler Blvd
Ste 3B
Chandler, AZ 85226
Phone (602) 283-7474

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

5801 S McClintock Dr
Ste 104
Tempe, AZ 85283
Phone (623) 220-2601

8150 N Central Expy
Ste 1800
Dallas, TX 75206
Phone (469) 501-1602

Interoperability endpoints

  • Direct secure messaging: randy.torres.1@32658.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1821889585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 S 114TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853239181",
            "telephone_number": "623-433-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145656",
            "telephone_number": "602-954-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "RANDY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "324485",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "324485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "324485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.