NPIMap

Individual provider Active NPI

Nicholas P Slimack, MD

  • Neurological Surgery Physician
  • Santa Maria, CA
National Provider Identifier
1265743884
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A120078 Issued in CA
Practice address
300 South Stratford Avenue
Santa Maria, CA 93454-5903
Phone
(805) 739-3863
Fax
(805) 614-2035
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A120078 CA Primary

Addresses

Primary practice location

300 South Stratford Avenue
Santa Maria, CA 93454-5903

Mailing address

300 S Stratford Ave
Santa Maria, CA 93454-5903
Phone (805) 739-3863

Other identifiers 1

IdentifierTypeStateIssuer
CB216446OtherCAMEDICARE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000082 CA Practitioner - Neurosurgery 1456514652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 S Stratford Ave
Santa Maria, CA 93454-5903
Phone (805) 739-3863

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion119
Laminectomy or laminotomy (partial removal of spine bones)73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120078CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Neurological Surgery CurrentSince Sep 1, 2013 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Sep 1, 2013 Accepting new patients
Dignity Health Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

Dept LA 23703
Pasadena, CA 91185

504 Plaza Dr
Santa Maria, CA 93454

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

300 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 347-2100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1265743884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S STRATFORD AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545903",
            "telephone_number": "805-739-3863",
            "fax_number": "805-614-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH STRATFORD AVENUE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545903",
            "telephone_number": "805-739-3863",
            "fax_number": "805-614-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIMACK",
        "first_name": "NICHOLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A120078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB216446",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.