Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

R RANDALL GRACE MD
NPI 1598740995
Specialist in Phoenix, AZ

Active since December 08, 2005
10930 N TATUM BLVD, STE 103, PHOENIX, AZ 85028(602) 263-7600(602) 212-0365 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About R Randall Grace Md NPPES

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

R RANDALL GRACE MD (NPI 1598740995) is an individual specialist in Phoenix, Arizona, licensed in Arizona (10020) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1598740995
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameR RANDALL GRACECredential: MD
Location Address10930 N TATUM BLVD, STE 103Phoenix, AZ 85028-6069
Mailing Address10930 N Tatum Blvd, Ste 103Phoenix, AZ 85028-6069 · (602) 263-7600 · Fax (602) 212-0365
Fax(602) 212-0365
Sole ProprietorNo
Enumeration DateDecember 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1598740995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AZ · 10020
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10930 N TATUM BLVD, Phoenix, AZ 85028

Other Providers at the Same Location NPPES 18

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

Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Specialist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028
Perfusionist
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Physician Assistant
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Specialist/Technologist Cardiovascular (Vascular Specialist)
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Perfusionist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028

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 R Grace's NPI number?

The NPI number for R Grace is 1598740995. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is R Grace located?

R Grace practices at 10930 N Tatum Blvd Ste 103, Phoenix, AZ 85028. The listed phone number is (602) 263-7600.

What is R Grace's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for R Grace was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.