Active NPI
Thomas Slavin Jr., M.D.
- Clinical Genetics (M.D.) Physician
- La Crescenta, CA
National Provider Identifier
1023224557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- A132394
- Practice address
- 2430 Cross St
La Crescenta, CA 91214-3103 - Phone
- (626) 256-8662
- NPI assigned
- May 14, 2007
- Last updated
- Mar 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | MD15651 | HI | |
| Pediatrics Physician | 208000000X | A132394 | CA | |
| Pediatrics Physician | 208000000X | 57.010596 | OH | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | A132394 | CA | Primary |
Addresses
Primary practice location
2430 Cross St
La Crescenta, CA 91214-3103
Mailing address
2430 Cross St
La Crescenta, CA 91214-3103
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 |
|---|---|---|---|
| A132394 | CA | MD | Clinical Genetics (M.D.) Physician |
| MD15651 | HI | MD | Clinical Genetics (M.D.) Physician |
| 57.010596 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
Locations
1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111
1500 Duarte Rd
Bldg 173
Duarte, CA 91010
209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1023224557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 CROSS ST",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 CROSS ST",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "912143103",
"telephone_number": "626-256-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAVIN",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "HI",
"license": "MD15651",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A132394",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57.010596",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "CA",
"license": "A132394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.