Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Randall Revellame, TECHNICIAN

Individual provider Technician · NPI 1982554986

John Randall Revellame, TECHNICIAN is a Technician in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730-1156
Phone: (951) 344-5023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician (primary) Taxonomy 374700000X (CA)

Record details

NPI number1982554986
Entity typeIndividual (Type 1)
GenderMale
Credentials TECHNICIAN
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026

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