Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JUSTIN RANDAZZO
NPI 1508774969
Student in an Organized Health Care Education/Training Program in Glendale, AZ

Q: What is Justin Randazzo's NPI number?

The NPI number for Justin Randazzo is 1508774969. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Q: What is Justin Randazzo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Randazzo was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since August 28, 2026

5149 W COLUMBINE DR, GLENDALE, AZ 85304(602) 696-0287 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Justin Randazzo NPPES

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

JUSTIN RANDAZZO (NPI 1508774969) is an individual student in an organized health care education/training program in Glendale, Arizona and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1508774969

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUSTIN RANDAZZO

Location Address5149 W COLUMBINE DRGlendale, AZ 85304-1915

Mailing Address5149 W Columbine DrGlendale, AZ 85304-1915 · (602) 696-0287

Phone(602) 696-0287

Sole ProprietorNo

Enumeration DateAugust 28, 2026

NPPES CertifiedAugust 28, 2026

✔ NPI 1508774969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5149 W COLUMBINE DR, Glendale, AZ 85304

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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 Justin Randazzo's NPI number?

The NPI number for Justin Randazzo is 1508774969. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Where is Justin Randazzo located?

Justin Randazzo practices at 5149 W Columbine Dr, Glendale, AZ 85304. The listed phone number is (602) 696-0287.

What is Justin Randazzo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justin Randazzo was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.