Organization Active NPI

Charles Slocumb M.D.

  • Obstetrics & Gynecology Physician
  • Modesto, CA
National Provider Identifier
1770517229
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C30130 Issued in CA
Legal business name
CHARLES SLOCUMB M.D.
Practice address
2209 Coffee Rd Ste M
Modesto, CA 95355
Phone
(209) 526-8038
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Charles Slocumb, M.D.
Title
OB-Gynecology
Phone
(209) 526-3832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C30130 CA Primary

Addresses

Primary practice location

2209 Coffee Rd Ste M
Modesto, CA 95355

Mailing address

120 W. Granger Avenue
Modesto, CA 95350
Phone (209) 526-3832

National Provider Directory

National Provider Directory
Tax ID family
Charles Slocumb MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 W Granger Ave
Modesto, CA 95350

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1770517229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W. GRANGER AVENUE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-526-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 COFFEE RD STE M",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-526-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SLOCUMB M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SLOCUMB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OB-GYNECOLOGY",
        "authorized_official_telephone_number": "209-526-3832",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C30130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.