Active NPI
Neuro Fitness Medical Corporation
- Internal Medicine Physician
- Gardena, CA
National Provider Identifier
1659072106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEURO FITNESS MEDICAL CORPORATION
- Practice address
- 18726 S Western Ave Ste 409
Gardena, CA 90248-3858 - Phone
- (310) 819-8582
- NPI assigned
- Mar 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Joseph Sliskovich, MD
- Title
- Owner
- Phone
- (310) 819-8582
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
18726 S Western Ave Ste 409
Gardena, CA 90248-3858
Mailing address
18726 S Western Ave Ste 409
Gardena, CA 90248-3858
Phone (310) 819-8582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18726 S Western Ave
Ste 409
Gardena, CA 90248
Phone (310) 329-4835
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Gardena, CA
- NPI 1245892934
-
- Psychiatric/Mental Health Nurse Practitioner
- Los Angeles, CA
- NPI 1285399949
-
- Psychologist
- Gardena, CA
- NPI 1982277653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1659072106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 409",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "310-819-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18726 S WESTERN AVE STE 409",
"city": "GARDENA",
"state": "CA",
"postal_code": "902483858",
"telephone_number": "310-819-8582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO FITNESS MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A",
"authorized_official_last_name": "SLISKOVICH",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-819-8582",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.