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

SHANE RANDALL
NPI 1568376648
Counselor - Addiction (Substance Use Disorder) in Anaheim, CA

Active since September 28, 2026
1320 W PEARL ST, ANAHEIM, CA 92801(714) 780-1174 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shane Randall NPPES

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

SHANE RANDALL (NPI 1568376648) is an individual addiction (substance use disorder) provider in Anaheim, California, licensed in California (1459270926) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1568376648
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE RANDALL
Location Address1320 W PEARL STAnaheim, CA 92801-5941
Mailing Address1320 W Pearl StAnaheim, CA 92801-5941 · (714) 780-1174
Phone(714) 780-1174
Sole ProprietorYes
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1568376648 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 · 1459270926
1320 W PEARL ST, Anaheim, CA 92801
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

PATRICK KEVIN KELLY SUDCC2
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (866) 811-3656
EUNICE SARAI ANAYA
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
ROSARIO RUIZ
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
ALFONSO G MEDINA SR.
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
VANESSA VALENCIA
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
COURTNEY GRUTBO
Social Worker (Clinical)
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
MICHAEL GONZALEZ
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174
MICHAEL TRESSLER
Counselor (Addiction (Substance Use Disorder))
1320 W PEARL ST
ANAHEIM, CA 92801
Orange County (714) 780-1174

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 Shane Randall's NPI number?

The NPI number for Shane Randall is 1568376648. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Shane Randall located?

Shane Randall practices at 1320 W Pearl St, Anaheim, CA 92801. The listed phone number is (714) 780-1174.

What is Shane Randall'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 Shane Randall was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.