Individual provider Active NPI

David Lowell Slater, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Clovis, CA
National Provider Identifier
1609817873
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G63203 Issued in CA
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

Updated by the provider on Dec 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G632030MedicaidCA
220015519OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000678 CA Practitioner - Pathology 7911900766 Reassigns benefits to 1 organization

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
Pathology AssociatesGroup PAC ID 9133168784, 16 clinicians

Practice addresses (Care Compare)

305 Park Creek Dr
Clovis, CA 93611-4426
Phone (559) 326-2800

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63203CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.