| Randal Sloop Md Inc | |
|
2068 Talbert Dr Ste 150 Chico CA 95928-7723 | |
| (530) 809-0009 | |
| (530) 809-0399 |
| Full Name | Randal Sloop Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2068 Talbert Dr Ste 150, Chico, California |
| Authorized Official Name and Position | Randal Sloop (PRESIDENT) |
| Authorized Official Contact | 5308090009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randal Sloop Md Inc 2068 Talbert Dr Ste 150 Chico CA 95928-7723 Ph: (530) 809-0009 | Randal Sloop Md Inc 2068 Talbert Dr Ste 150 Chico CA 95928-7723 Ph: (530) 809-0009 |
| NPI Number | 1538521125 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 4082905377 |
|---|---|
| Medicare Enrollment ID | O20160616000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538521125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G61004 (California) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | G63549 (California) | Secondary |
| Provider Name | Felicia R Ponce |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013004563 PECOS PAC ID: 4688698129 Enrollment ID: I20060123000941 |
| Provider Name | Jay R Sloop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477638807 PECOS PAC ID: 0446235774 Enrollment ID: I20120402000604 |
| Provider Name | Christine A Sloop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043395478 PECOS PAC ID: 0244215408 Enrollment ID: I20120508000550 |
| Provider Name | Marland A Hansen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568469138 PECOS PAC ID: 7517925753 Enrollment ID: I20161220002016 |
| Provider Name | Aaron Jackson Low Wun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992262117 PECOS PAC ID: 9830422740 Enrollment ID: I20190607002383 |
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