Provider Demographics
NPI:1326063389
Name:ARMSTRONG, RANDALL W (MD)
Entity type:Individual
Prefix:
First Name:RANDALL
Middle Name:W
Last Name:ARMSTRONG
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 K STREET
Mailing Address - Street 2:STE 500J
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816
Mailing Address - Country:US
Mailing Address - Phone:916-732-3340
Mailing Address - Fax:916-732-3360
Practice Address - Street 1:2801 K ST STE 500
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5119
Practice Address - Country:US
Practice Address - Phone:916-853-0460
Practice Address - Fax:916-853-0464
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG534962081P2900X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA52535Medicare UPIN