RANDY GRANT JR.
NPI 1336037118
Counselor - Addiction (Substance Use Disorder) in Fair Oaks, CA

Active since June 27, 2025
11228 FAIR OAKS BLVD, FAIR OAKS, CA 95628(916) 962-2800 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy Grant Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDY GRANT JR. (NPI 1336037118) is an individual addiction (substance use disorder) provider in Fair Oaks, California, licensed in California (R1599760225) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1336037118
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRANDY GRANT JR.
Location Address11228 FAIR OAKS BLVDFair Oaks, CA 95628-5139
Mailing Address11228 Fair Oaks BlvdFair Oaks, CA 95628-5139 · (916) 962-2800
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
NPI 1336037118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1599760225
11228 FAIR OAKS BLVD, Fair Oaks, CA 95628

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Substance Abuse Rehabilitation Facility
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628
Counselor (Addiction (Substance Use Disorder))
11228 FAIR OAKS BLVD
FAIR OAKS, CA 95628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Grant's NPI number?

The NPI number for Randy Grant is 1336037118. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Randy Grant located?

Randy Grant practices at 11228 Fair Oaks Blvd, Fair Oaks, CA 95628. The listed phone number is (916) 962-2800.

What is Randy Grant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Randy Grant was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.