Individual provider Active NPI

Paul Joseph Slosar, MD

  • Orthopaedic Surgery of the Spine Physician
  • Daly City, CA
National Provider Identifier
1417929548
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
G76461 Issued in CA
Practice address
455 Hickey Blvd Ste 310
Daly City, CA 94015-2630
Phone
(650) 985-7500
Fax
(650) 731-4434
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G76461 CA Primary

Addresses

Primary practice location

455 Hickey Blvd Ste 310
Daly City, CA 94015-2630

Mailing address

455 Hickey Blvd Ste 310
Daly City, CA 94015-2630
Phone (650) 985-7500

Other identifiers 1

IdentifierTypeStateIssuer
P00066665OtherCAMEDICRE RAILROAD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000684 CA Practitioner - Orthopedic Surgery 0547364069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76461CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1417929548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD STE 310",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152630",
            "telephone_number": "650-985-7500",
            "fax_number": "650-731-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HICKEY BLVD STE 310",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152630",
            "telephone_number": "650-985-7500",
            "fax_number": "650-731-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOSAR",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "G76461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICRE RAILROAD PIN",
            "identifier": "P00066665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.