Active NPI
Robert R. Slater, Jr, MD. Incorporated
- Orthopaedic Hand Surgery Physician
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- G80954
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
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- NPI 1235219353
-
- Clinical Social Worker
- Folsom, CA
- NPI 1336554690
-
- Clinical Social Worker
- Folsom, CA
- NPI 1679664916
-
- Internal Medicine Physician
- Kentfield, CA
- NPI 1912029190
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.