Active NPI
Neal Elliot Slatkin, MD
- Neurology Physician
- San Jose, CA
National Provider Identifier
1013089655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G53742
- Practice address
- 4850 Union Ave
San Jose, CA 95124-5156 - Phone
- (408) 559-5600
- Fax
- (408) 559-5320
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G53742 | CA | Primary |
Addresses
Primary practice location
4850 Union Ave
San Jose, CA 95124-5156
Mailing address
4850 Union Ave
San Jose, CA 95124-5156
Phone (408) 559-5600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G537420 | Medicaid | CA | |
| P01359171 | Other | CA | PALMETTO GBA |
| WG53742A | Other | CA | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G53742 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Cancer Specialists Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1013089655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 UNION AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245156",
"telephone_number": "408-559-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 UNION AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245156",
"telephone_number": "408-559-5600",
"fax_number": "408-559-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATKIN",
"first_name": "NEAL",
"middle_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G53742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G537420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P01359171",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "WG53742A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.