Provider Demographics
NPI:1649202888
Name:REGIONAL RADIOLOGICAL ASSOCIATES, INC. A MEDICAL GROUP
Entity Type:Organization
Organization Name:REGIONAL RADIOLOGICAL ASSOCIATES, INC. A MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/CPA
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SLEPICKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-243-1236
Mailing Address - Street 1:PO BOX 849980
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90084-9980
Mailing Address - Country:US
Mailing Address - Phone:530-243-1236
Mailing Address - Fax:530-243-8502
Practice Address - Street 1:2020 COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1822
Practice Address - Country:US
Practice Address - Phone:530-243-1236
Practice Address - Fax:530-243-8502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ12509ZMedicare PIN
CAZZZ12509ZMedicare Oscar/Certification