Individual provider Active NPI

Richard Charles Slawsky, M.D.

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1669528410
Registry record updated Jan 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G56802 Issued in CA
Practice address
71 Los Cerros PL
Walnut Creek, CA 94598-3106
Phone
(510) 304-1809
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G56802 CA Primary

Addresses

Primary practice location

71 Los Cerros PL
Walnut Creek, CA 94598-3106

Mailing address

71 Los Cerros PL
Walnut Creek, CA 94598-3106
Phone (510) 304-1809

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
I20200519002518 CA Order and Referring Only - PsychiatryPractitioner - Psychiatry 1456349653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G56802CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359158400000",
    "number": "1669528410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 LOS CERROS PL",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983106",
            "telephone_number": "510-304-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LOS CERROS PL",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983106",
            "telephone_number": "510-304-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAWSKY",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G56802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.