John Randall Revellame, TECHNICIAN
NPI 1982554986ActiveIndividual· Technician· Rancho Cucamonga, CA
Technician (TECHNICIAN) in Rancho Cucamonga, California, with an NPI issued in January 2026.
Overview
| NPI | 1982554986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | TECHNICIAN |
| Sole proprietor | No |
| NPI issued | Jan 29, 2026 |
| Last updated in NPPES | Jan 31, 2026 |
| Certified by provider | Jan 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician Primary | 374700000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician providers in Rancho Cucamonga
- 1922947464
- 1932048469
- 1285585687
- 1942149471
- 1437990041
- 1265371702
- 1346189883