Organization Active NPI

Robert R. Slater, Jr, MD. Incorporated

  • Orthopaedic Hand Surgery Physician
  • Folsom, CA
National Provider Identifier
1316134448
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G80954 Issued in CA
Legal business name
ROBERT R. SLATER, JR, MD. INCORPORATED
Practice address
1568 Creekside Drive
Suite 206
Folsom, CA 95630
Phone
(916) 404-4400
Fax
(916) 790-5924
NPI assigned
Oct 3, 2007
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Dr. Robert Randall Slater Jr., M.D.NPI 1427136183
Title
Owner
Phone
(916) 404-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X G80954 CA Primary

Addresses

Primary practice location

1568 Creekside Drive
Suite 206
Folsom, CA 95630

Mailing address

1568 Creekside Dr.
Suite 206
Folsom, CA 95630
Phone (916) 404-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080109000514 CA Part B Supplier - Clinic/Group Practice 0749360295 Receives reassigned benefits from 2 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

1568 Creekside Dr
Folsom, CA 95630

1568 Creekside Dr
Ste 206
Folsom, CA 95630
Phone (916) 404-4400

1580 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 961-3434

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1316134448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 CREEKSIDE DR.",
            "address_2": "SUITE 206",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-404-4400",
            "fax_number": "916-790-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 CREEKSIDE DRIVE",
            "address_2": "SUITE 206",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-404-4400",
            "fax_number": "916-790-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R. SLATER, JR, MD. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-404-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G80954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.