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Sheldon King Sloan, PA-C

Physician Assistant, Medical in Lakeport, CA. Individual provider (NPI-1).

NPI number1285607259
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1285607259
Entity type
Individual (NPI-1)
Name
Mr. Sheldon King Sloan
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2006
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical––Yes
363A00000X Physician AssistantPA19539CA

Practice location

925 Bevins Ct
Lakeport, CA 95453-9754

Phone 707-253-8382 · Fax 707-263-1909

Mailing address

Po Box 1950
Lakeport, CA 95453-1950

Phone 707-263-8382 · Fax 707-263-1909

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Medical Physician Assistant providers in Lakeport, CA

All 10 Medical Physician Assistant providers in Lakeport · All 494 providers in Lakeport

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