Active NPI
Samuel Slown, PA-C
- Physician Assistant
- Berkeley, CA
National Provider Identifier
1265246029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 66232
- Practice address
- 2999 Regent St Ste 715
Berkeley, CA 94705-2122 - Phone
- (510) 841-8700
- Fax
- (925) 779-3705
- NPI assigned
- Feb 3, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 66232 | CA | Primary |
Addresses
Primary practice location
2999 Regent St Ste 715
Berkeley, CA 94705-2122
Mailing address
2999 Regent St Ste 715
Berkeley, CA 94705-2122
Phone (925) 323-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66232 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients |
Locations
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768
Organizations & group practices 4
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1265246029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 REGENT ST STE 715",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052122",
"telephone_number": "925-323-5173",
"fax_number": "925-779-3705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 REGENT ST STE 715",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052122",
"telephone_number": "510-841-8700",
"fax_number": "925-779-3705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOWN",
"first_name": "SAMUEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-03",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "66232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.