Active NPI
Samuel Slishman, MD
- Emergency Medicine Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C55319
- Practice address
- 387 Lincoln St
San Luis Obispo, CA 93405-2331 - Phone
- (505) 220-1014
- NPI assigned
- Jul 30, 2006
- Last updated
- Mar 13, 2015
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C55319 | CA | Primary |
Addresses
Primary practice location
387 Lincoln St
San Luis Obispo, CA 93405-2331
Mailing address
387 Lincoln St
San Luis Obispo, CA 93405-2331
Phone (505) 220-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55319 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America- California | Emergency Medicine | Current | Accepting new patients |
| Central Coast Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
| Lea Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| NM Heart Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Eddy Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
300 Canal St
King City, CA 93930
Phone (831) 385-6000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
Organizations & group practices 9
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.
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- NPI 1972535557
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
-
- Emergency Medicine Physician
- King City, CA
- NPI 1821648064
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Specialist
- Waimea, HI
- NPI 1467620328
-
- Emergency Medicine Physician
- Carlsbad, NM
- NPI 1568487395
-
- Emergency Medicine Physician
- Hobbs, NM
- NPI 1063521938
-
- Emergency Medicine Physician
- Albuquerque, NM
- NPI 1467776641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1225043789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 LINCOLN ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934052331",
"telephone_number": "505-220-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 LINCOLN ST",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934052331",
"telephone_number": "505-220-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLISHMAN",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C55319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
- Brandon James Slade, DPM
- Clinton Andrew Slaughter, M.D.
- Laura Dawn Slaughter, RN, FNP-C
- Elisabeth Sledz, MD
- Sleeptech, LLC (Coastal Sleep Disorders Center)
- SLM Nursing Anesthesia Services Inc
- Slo Acupuncture & Integrative Medicine
- Slo Coastal Counseling, a Marriage and Family Therapy Professional Corporation
- Slo County B.H. (Slo County Mental Health)
- Slo County Behavorial Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.