Active NPI
David Lowell Slater, MD
- Anatomic Pathology & Clinical Pathology Physician
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G63203
- Practice address
- 305 Park Creek Dr
Clovis, CA 93611-4426 - Phone
- (559) 326-2815
- Fax
- (559) 326-2801
- NPI assigned
- Jun 9, 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G63203 | CA | Primary |
Addresses
Primary practice location
305 Park Creek Dr
Clovis, CA 93611-4426
Mailing address
PO Box 2130
Clovis, CA 93613-2130
Phone (559) 326-2815
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G632030 | Medicaid | CA | |
| 220015519 | Other | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Minnesota Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 Park Creek Dr
Clovis, CA 93611-4426
Phone (559) 326-2800
Hospital & facility affiliations
- Community Regional Medical Center
- Clovis Community Medical Center
- Adventist Health Hanford
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63203 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Pathology Laboratory Inc | Current | Accepting new patients | |
| Crawford & Reiber Medical Associates | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
305 Park Creek Dr
Clovis, CA 93611
Phone (559) 326-2800
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
Organizations & group practices 4
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Clovis, CA
- NPI 1144277633
-
- Clinical Medical Laboratory
- Clovis, CA
- NPI 1699161729
-
- Cytopathology Physician
- Hanford, CA
- NPI 1457313702
Anatomic Pathology & Clinical Pathology
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1609817873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2130",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936132130",
"telephone_number": "559-326-2815",
"fax_number": "559-326-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 PARK CREEK DR",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114426",
"telephone_number": "559-326-2815",
"fax_number": "559-326-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "DAVID",
"middle_name": "LOWELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G63203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G632030",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220015519",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.