Active NPI
Eric Sletten, MD
- Family Medicine Physician
- Northridge, CA
National Provider Identifier
1487735817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G64825
- Practice address
- 18406 Rosco Blvd
Northridge Family Practice Medical Group Inc
Northridge, CA 91325 - Phone
- (818) 885-5480
- Fax
- (818) 993-1917
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G64825 | CA | Primary |
Addresses
Primary practice location
18406 Rosco Blvd
Northridge Family Practice Medical Group Inc
Northridge, CA 91325
Mailing address
18406 Rosco Blvd
Northridge, CA 91325
Phone (818) 885-5480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G648250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Dennis Emergency Medical Group Inc | Family Medicine | 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.
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1487735817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18406 ROSCO BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-885-5480",
"fax_number": "818-885-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18406 ROSCO BLVD",
"address_2": "NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP INC",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-885-5480",
"fax_number": "818-993-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLETTEN",
"first_name": "ERIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G64825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G648250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.