Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn R Slocum, MD

Individual provider Diagnostic Radiology Physician · NPI 1588614564

Glenn R Slocum, MD is a Diagnostic Radiology in Irvine, California. Graduated from Geisel School of Medicine at Dartmouth in 1990, 36 years ago. Practices with Palm Desert Radiology Medical Group Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
36
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

74 Harvey Ct
Irvine, CA 92617-4070
Phone: (949) 725-6437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G74578 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 45137 (AZ)

Record details

NPI number1588614564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESApril 22, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1990 (36 years in practice)
Group practice Palm Desert Radiology Medical Group Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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