Active NPI
Mark Slonim, M.D.
- Surgery of the Hand (Surgery) Physician
- La Jolla, CA
National Provider Identifier
1730410747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Surgery) Physician
- License
- G19659
- Practice address
- 5610 Caminito Genio
La Jolla, CA 92037-7167 - Phone
- (858) 551-2020
- NPI assigned
- Jan 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | G19659 | CA | Primary |
Addresses
Primary practice location
5610 Caminito Genio
La Jolla, CA 92037-7167
Mailing address
5610 Caminito Genio
La Jolla, CA 92037-7167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G19659 | CA | MD | Surgery of the Hand (Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263513600000",
"number": "1730410747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 CAMINITO GENIO",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 CAMINITO GENIO",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920377167",
"telephone_number": "858-551-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLONIM",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "CA",
"license": "G19659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.