Individual provider Active NPI

Aaron Slotkin, PHARMD, CCN

  • Nutritionist
  • Los Angeles, CA
National Provider Identifier
1780076844
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
5020 Issued in TX
Practice address
6360 Wilshire Blvd Ste 210
Los Angeles, CA 90048-5606
Phone
(323) 297-0566
Fax
(323) 297-0568
NPI assigned
Feb 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 5020 TX Primary
Pharmacist 183500000X 61933 CA

Addresses

Primary practice location

6360 Wilshire Blvd Ste 210
Los Angeles, CA 90048-5606

Mailing address

427 S Oakhurst Dr Apt 4
Beverly Hills, CA 90212-4730
Phone (909) 557-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5020TXMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1780076844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S OAKHURST DR APT 4",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124730",
            "telephone_number": "909-557-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485606",
            "telephone_number": "323-297-0566",
            "fax_number": "323-297-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTKIN",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "5020",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "61933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.