Active NPI
Slawomir Tadeusz Niewiadomski, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
National Provider Identifier
1205841665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A50674
- Practice address
- 7592 Metropolitan Dr
Suite 405-407
San Diego, CA 92108-4428 - Phone
- (619) 297-4900
- Fax
- (619) 297-5460
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | A50674 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A50674 | CA | Primary |
Addresses
Primary practice location
7592 Metropolitan Dr
Suite 405-407
San Diego, CA 92108-4428
Mailing address
7592 Metropolitan Dr
Suite 400
San Diego, CA 92108-4428
Phone (619) 325-8726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A506740 | Medicaid | CA |
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 |
|---|---|---|---|
| 50674 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Diego Pathologists Medical Group Inc | Cytopathology | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- San Diego, CA
- NPI 1982619466
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1205841665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7592 METROPOLITAN DR",
"address_2": "SUITE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084428",
"telephone_number": "619-325-8726",
"fax_number": "619-325-8728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7592 METROPOLITAN DR",
"address_2": "SUITE 405-407",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084428",
"telephone_number": "619-297-4900",
"fax_number": "619-297-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEWIADOMSKI",
"first_name": "SLAWOMIR",
"middle_name": "TADEUSZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A50674",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A50674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A506740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.