Stuart Slavin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54766 Issued in CA

Practice address

200 Medical Plaza
#265
Los Angeles, CA 90074

Phone

(310) 206-6923

Fax

(310) 394-7807

NPI assigned

Aug 31, 2006

Last updated

Feb 17, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1730291675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455632",
            "telephone_number": "310-828-7172",
            "fax_number": "310-394-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLAZA",
            "address_2": "#265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90074",
            "telephone_number": "310-206-6923",
            "fax_number": "310-394-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "STUART",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54766",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G54766",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G547660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyjane Slaughter
• Leore Marcel Slavick, PA
• Alana Slavin, MD
• Daniel C Slavin, PH.D.
• Diana Slavin
• Olga Slavinskaya, NP
• Nichol Slawinski
• Dana Lee Slay, L.C.S.W.
• Sara Bess Dawkins Slayden, LMFT
• Alexis Taylor Slear

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.