Peter D. Sliskovich, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G42414 Issued in CA

Legal business name

PETER D. SLISKOVICH, MD, INC.

Practice address

1360 W 6TH St
Suite 120 West Building
San Pedro, CA 90732-3514

Phone

(310) 833-2461

Fax

(310) 833-6342

NPI assigned

Nov 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Peter Dan Sliskovich, M.D.

Title

Owner/President

Phone

(310) 833-2461

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curtis Alan Foster

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1477710028
  NPD (past)
• Matin R Hemmat, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Rolling Hills Estates, CA
  • NPI 1750799771
  NPD (past)
• Kimberly S. Hua, PA-C

  • Physician Assistant
  • San Pedro, CA
  • NPI 1346594363
  NPD (past)

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289001600000",
    "number": "1316248313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 120 WEST BUILDING",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-833-2461",
            "fax_number": "310-833-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 120 WEST BUILDING",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-833-2461",
            "fax_number": "310-833-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D. SLISKOVICH, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2010-11-06",
        "status": "A",
        "authorized_official_last_name": "SLISKOVICH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-833-2461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G42414",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G424140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna Perez
• Monica Stephanie Perez
• Milo Perkins
• Jakob Renato Perkov
• John Louis Perry Jr., MD
• Robert Dennis Peterson, L.AC.
• Marina Nicolette Petrich, OTR/L, COEE
• Grace C. Petterson, MD
• Chuong Pham
• Emily Phuong Linh Pham

• Family Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.