Active NPI
Jerry Munro Slater, MD
- Body Imaging Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- A172254
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- May 3, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | A172254 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loma Linda University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808
25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3139
Phone (909) 558-4000
26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174
28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000
399 E 21St St
San Bernardino, CA 92404-4815
Phone (909) 558-3012
900 E Washington St
Suite 200
Colton, CA 92324-4192
Phone (909) 558-4000
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
- Loma Linda University Medical Center-Murrieta
- Providence St Mary Medical Center
- San Gorgonio Memorial Hospital
- St Bernardine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A172254 | CA | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Beaumont Radiology Services LLC | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Regents of the University of California Ucsd Department of Radiology | Current | Accepting new patients | |
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Regents of the University of California | Body Imaging | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
File 54701
Los Angeles, CA 90074
Phone (909) 651-4300
10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579
1851 N Riverside Ave
Rialto, CA 92376
Phone (909) 421-2700
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
399 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2266
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Fontana, CA
- NPI 1376876912
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Body Imaging
-
- Radiology Clinic/Center
- Beaumont, CA
- NPI 1629212840
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1124077516
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Family Medicine Physician
- Fontana, CA
- NPI 1043255763
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1225213655
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1710109186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1851746382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "JERRY",
"middle_name": "MUNRO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "A172254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.