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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RANDALL A PENCE PA-C
NPI 1770576720
Physician Assistant - Medical in Phoenix, AZ

Active since August 24, 2005
4350 N 19TH AVE, SUITE #6, PHOENIX, AZ 85015(602) 264-9191(602) 532-2973 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randall A Pence Pa-c NPPES

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

RANDALL A PENCE PA-C (NPI 1770576720) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (AZ3194) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1770576720
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRANDALL A PENCECredential: PA-C
Location Address4350 N 19TH AVE, SUITE #6Phoenix, AZ 85015-4602
Mailing Address4350 N 19th Ave, Suite #6Phoenix, AZ 85015-4602 · (602) 264-9191 · Fax (602) 532-2973
Phone(602) 264-9191
Fax(602) 532-2973
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1770576720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · AZ3194
4350 N 19TH AVE, Phoenix, AZ 85015
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

PHILLIP PRUSINSKI FNP
Nurse Practitioner (Family)
4350 N 19TH AVE, #6
PHOENIX, AZ 85015
Maricopa County (480) 607-1124
MR. ADAM ESQUER NP
General Practice
4350 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
DOUGLAS L CUNNINGHAM D.O.
Family Medicine
4350 N 19TH AVE, SUITE 6
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
JUDITH BERGMAN MSN, FNP
Nurse Practitioner (Family)
4350 N 19TH AVE, SUITE 6
PHOENIX, AZ 85015
Maricopa County (602) 264-9191
DENNIS R PARKER, D.O. LTD
Family Medicine
4350 N 19TH AVE, #1
PHOENIX, AZ 85015
Maricopa County (602) 264-4848
DR. JOYCE N RATNER D.P.M.
Podiatrist (Foot & Ankle Surgery)
4350 N 19TH AVE, SUITE 3
PHOENIX, AZ 85015
Maricopa County (602) 279-4975
DANIEL THOMAS LINDELL PHARMD
Pharmacist (Ambulatory Care)
4350 N 19TH AVE
PHOENIX, AZ 85015
Maricopa County (800) 939-2022
DESERT RUN MULTISPECIALTY PLC
Internal Medicine (Interventional Cardiology)
4350 N 19TH AVE, SUITE 3
PHOENIX, AZ 85015
Maricopa County (602) 279-4975

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 Randall Pence's NPI number?

The NPI number for Randall Pence is 1770576720. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Randall Pence located?

Randall Pence practices at 4350 N 19th Ave Suite #6, Phoenix, AZ 85015. The listed phone number is (602) 264-9191.

What is Randall Pence's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Randall Pence was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.