Active NPI
Guy P. Randazzo, M.D.
- Pulmonary Disease Physician
- Tustin, CA
National Provider Identifier
1881663979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A22452
- Practice address
- 13522 Newport Ave Ste 102
Tustin, CA 92780-3707 - Phone
- (714) 573-8200
- Fax
- (714) 573-9401
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A22452 | CA | Primary |
Addresses
Primary practice location
13522 Newport Ave Ste 102
Tustin, CA 92780-3707
Mailing address
PO Box 15090
Anaheim, CA 92803-5090
Phone (714) 577-2124
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB292883 | Medicaid | CA | |
| 1912919804 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chest and Critical Care Consultants | Pulmonary Disease | Current | Accepting new patients |
| Chest and Critical Care Consultants a Medical Group | Pulmonary Disease | Current | Accepting new patients |
Locations
13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1598852717
Pulmonary Disease
-
- Sleep Disorder Diagnostic Clinic/Center
- Tustin, CA
- NPI 1659450054
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1881663979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15090",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928035090",
"telephone_number": "714-577-2124",
"fax_number": "714-577-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13522 NEWPORT AVE STE 102",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803707",
"telephone_number": "714-573-8200",
"fax_number": "714-573-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDAZZO",
"first_name": "GUY",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A22452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CB292883",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912919804",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.