Individual
RANDELL VALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
568 N SUNRISE AVE STE 330, ROSEVILLE, CA 95661-3097
(916) 773-6200
(916) 782-4550
Mailing address
1860 SIERRA GARDENS DR UNIT 850, ROSEVILLE, CA 95661-1034
(916) 773-6200
(916) 782-4550
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A71917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71917
CA MEDICAL LICENSE
CA
01
—
ZZZ13841Z
MEDICARE ID - ROSEVILLE
CA
01
—
ZZZ13842Z
MEDICARE ID - CARMICHAEL
CA
01
—
ZZZ29516Z
MEDICARE ID - LINCOLN
CA
01
—
ZZZ43589Z
MEDICARE SUBMITTER ID
CA
Enumeration date
02/07/2007
Last updated
03/30/2026
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