NPIMap

Individual provider Active NPI

William H Slattery III, MD

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1184728750
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G075566 Issued in CA
Practice address
2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1944
Phone
(213) 483-9930
Fax
(213) 483-0905
NPI assigned
Sep 12, 2006
Last updated
Jan 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G075566 CA Primary

Addresses

Primary practice location

2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1944

Mailing address

2100 W 3Rd St
Suite 111
Los Angeles, CA 90057-1944
Phone (213) 483-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060113000715 HI Practitioner - Otolaryngology 9830172527 Reassigns benefits to 1 organization
I20110810000638 CA Practitioner - OtolaryngologyPractitioner - Other (Physician) 9830172527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Missouri, Columbia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Los Angeles, CA 90017-4810
Phone (213) 482-2770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75566CAMDClinical Social Worker
G075566CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Otolaryngology CurrentSince Dec 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Dec 1, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients
House Ear Clinic Inc Otolaryngology Current Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jan 15, 2020 Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1245 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 202-2800

1245 Wilshire Blvd
Ste 480
Los Angeles, CA 90017

1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583

2100 W 3rd St
Ste 111
Los Angeles, CA 90057
Phone (213) 353-7052

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: williamslattery@pihh.allscriptsdirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1184728750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "SUITE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571944",
            "telephone_number": "213-483-9930",
            "fax_number": "213-483-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "SUITE 111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571944",
            "telephone_number": "213-483-9930",
            "fax_number": "213-483-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G075566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.