Individual
MR. RANDALL JAMES SORRENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14044 W CAMELBACK RD STE 118, LITCHFIELD PARK, AZ 85340-9481
(623) 547-2600
(623) 547-1899
Mailing address
3260 N HAYDEN RD STE 112, SCOTTSDALE, AZ 85251-6650
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
7034950001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7045160001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7046960001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7047150001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7057360001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7209350001
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7629170001
AZ
363A00000X
Physician Assistant
Primary
3649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283684
—
AZ
01
—
3649
ARIZONA LICENSE
AZ
Enumeration date
11/25/2005
Last updated
01/08/2026
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