Peter D. Sliskovich, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A133295 Issued in CA

Practice address

1360 W 6TH St
San Pedro, CA 90732-3514

Phone

(310) 833-2461

Fax

(310) 833-6342

NPI assigned

Nov 22, 2005

Last updated

Jan 16, 2022By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter D. Sliskovich, MD, Inc.

  • Family Medicine Physician
  • San Pedro, CA
  • NPI 1316248313
  Authorized official Same address or phone
• Zeljko Zic M.D. Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Pedro, CA
  • NPI 1740200526
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1811970015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S GAFFEY ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314628",
            "telephone_number": "310-548-0201",
            "fax_number": "310-547-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-833-2461",
            "fax_number": "310-833-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLISKOVICH",
        "first_name": "PETER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-01-16",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Darren Dizon Simbulan
• Kim Simmonds, LMFT
• Brittany Ann Sindicich, IBCLC
• Diane Catherine Sizgorich, D.D.S.
• Irina Skokandic, M.D.
• Smalling Nursing Corporation
• Bryan Smith, PSS
• David H Smith, M.D.
• Richard Charles Smith, M.D.
• Rochelle Smith

• Internal Medicine Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.