Active NPI
Bryan Slootsky, DO
- Physical Medicine & Rehabilitation Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A23790
- Practice address
- 1303 Mable Ave
Modesto, CA 95355-1119 - Phone
- (209) 857-3400
- NPI assigned
- May 21, 2021
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A23790 | CA | Primary |
Addresses
Primary practice location
1303 Mable Ave
Modesto, CA 95355-1119
Mailing address
2363 Le Conte Ave Unit B
Berkeley, CA 94709-1361
Phone (561) 702-4012
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
- Physical Medicine and Rehabilitation
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Broadway
Sonoma, CA 95476-7500
Phone (949) 371-9773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23790 | CA | MD | Chiropractor |
| 20A23790 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Health and Rehab PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Slootsky Physical Medicine & Rehabilitation, PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Michael Decker, DO, Inc | Current | Accepting new patients | |
| Integrated Rehab Consultants California Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
565 Pier Ave
Unit 1352
Hermosa Beach, CA 90254
Phone (816) 896-1355
16412 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 356-2191
1303 Mable Ave
Modesto, CA 95355
Phone (209) 232-4350
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
7716 W Manchester Ave
Playa del Rey, CA 90293
Phone (310) 823-4694
3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800
340 Northlake Dr
San Jose, CA 95117
Phone (408) 249-0344
1250 Broadway
Sonoma, CA 95476
Phone (707) 938-8406
8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421
Interoperability endpoints
- bryan.slootsky@104097756413956.direct.elationemr.com
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Hermosa Beach, CA
- NPI 1528410842
-
- Physical Medicine & Rehabilitation Physician
- Modesto, CA
- NPI 1366323032
-
- Physical Medicine & Rehabilitation Physician
- Playa del Rey, CA
- NPI 1023449741
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1043743891
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1861067985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 LE CONTE AVE UNIT B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091361",
"telephone_number": "561-702-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MABLE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551119",
"telephone_number": "209-857-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOOTSKY",
"first_name": "BRYAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-21",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A23790",
"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, 2025; 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.