Slo Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SLO MEDICINE INC

Practice address

2398 Alexander Ave
Los Osos, CA 93402-3740

Phone

(805) 748-5024

NPI assigned

Sep 23, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Connor Johnson, MDNPI 1780010603

Title

Owner

Phone

(805) 748-5024

Specialties & licenses 1

Addresses

Practitioners 1

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

• Connor Vanderveer Johnson, MD

  • Hospitalist Physician
  • Emeryville, CA
  • NPI 1780010603

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1326699273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 ALEXANDER AVE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 ALEXANDER AVE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023740",
            "telephone_number": "805-748-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLO MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-748-5024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Schingler, MD
• Karie Grace Schulte
• Gary Allen Scott, FNP
• Gina Bello Sears, M.S.
• Leslie Michele Simone, L.M.F.T.
• Ashley Janine Smith, LMFT
• Caroline Smith
• Jan Leslie Speer, R.D.
• Maxine Ellen Stein, MFT
• Thomas A Stein, MFT

• Internal Medicine Physician in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.