Healthcare Provider Details

I. General information

NPI: 1326063389
Provider Name (Legal Business Name): RANDALL W ARMSTRONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 K ST STE 500
SACRAMENTO CA
95816-5119
US

IV. Provider business mailing address

2801 K STREET STE 500J
SACRAMENTO CA
95816
US

V. Phone/Fax

Practice location:
  • Phone: 916-853-0460
  • Fax: 916-853-0464
Mailing address:
  • Phone: 916-732-3340
  • Fax: 916-732-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberG53496
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG53496
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: