Madeline L Slater MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MADELINE L SLATER MD INC

Practice address

122 Civic Center Dr
Suite 101
Vista, CA 92084-6040

Phone

(760) 806-9263

Fax

(760) 806-9264

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Madeline L Slater, MDNPI 1306045471

Title

Physician Owner

Phone

(760) 806-9263

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Madeline Lisette Slater, MD

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1306045471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1386045615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CIVIC CENTER DR",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846040",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELINE L SLATER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "760-806-9263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Mackay, PHARM.D.
• Michelle Farida Macklin
• Michael Lawrence Macmurray, M.D.
• Noel Madbak
• Gavin K Madeira, LCSW
• Yolanda Madrid, RDH
• Elisa Magana
• Nathalie Esther Magnus
• Amy Francis Todd Magnuson, M.D.
• Marta Anna Magnussen

• Infectious Disease Physician in Vista, CA
• Providers in Vista, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.