Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randy V Mallari, PMHNP-BC/C, FNP-BC/C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306198429

Randy V Mallari, PMHNP-BC/C, FNP-BC/C is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2024, 2 years ago. Practices with Gmc Healthcare PLLC, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, California, Hawaii and New Mexico and 2 more.

Years since qualifying
2
Licensed in
AZ, CA, HI, NM, NV, OR
In the registry since
2012
Specialties on file
6
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Practice location Address checks out

10901 E McDowell Rd
Scottsdale, AZ 85256-5300
Phone: (480) 278-7742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 10250 N 124th St, Scottsdale, AZ 85259-5201 — (480) 400-0850
  • 1050 Queen St Ste 100, Honolulu, HI 96814-4130 — (480) 400-0850
  • 525 3rd St, Lake Oswego, OR 97034-3081 — (480) 400-0850

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 321587 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95034292 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-5050 (HI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 873430 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10041249 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 83016 (NM)

Record details

NPI number1306198429
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC/C , FNP-BC/C
Sole proprietorYes
NPI enumeratedOctober 12, 2012
Last updated in NPPESJuly 25, 2026
Certification dateJuly 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gmc Healthcare Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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