Individual provider Active NPI

Madeline Lisette Slater, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1306045471
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100126 Issued in CA
Practice address
2014 47TH Ave
San Francisco, CA 94116-1047
Phone
(415) 602-0413
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100126 CA Primary

Addresses

Primary practice location

2014 47TH Ave
San Francisco, CA 94116-1047

Mailing address

2014 47TH Ave
San Francisco, CA 94116-1047
Phone (415) 602-0413

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000506 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4486712973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, San Francisco School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Civic Ctr Dr
Suite 101
Vista, CA 92084-6061
Phone (760) 806-9263

354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 633-6501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100126CAMDClinical Social Worker
A100126CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madeline L Slater MD Inc CurrentSince Dec 1, 2014 Accepting new patients
Scripps Health Current Accepting new patients

Locations

122 Civic Center Dr
Ste 10
Vista, CA 92084
Phone (760) 806-9263

122 Civic Center Dr
Ste 101
Vista, CA 92084
Phone (760) 806-9263

Interoperability endpoints

  • Direct secure messaging: mslater43434@scrippshlth.medalliesdirect.net

Organizations & group practices 2

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 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1306045471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 47TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161047",
            "telephone_number": "415-602-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 47TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161047",
            "telephone_number": "415-602-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "MADELINE",
        "middle_name": "LISETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.