Active NPI
Isabella JP Sledge, MD, MPH
- Geriatric Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1871288241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G172537
- Practice address
- 1018 S Gretna Green Way
Los Angeles, CA 90049-5831 - Phone
- (617) 877-5915
- NPI assigned
- Apr 10, 2023
- Last updated
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | G172537 | CA | Primary |
Addresses
Primary practice location
1018 S Gretna Green Way
Los Angeles, CA 90049-5831
Mailing address
1018 S Gretna Green Way
Los Angeles, CA 90049-5831
Phone (617) 877-5915
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G172537 | CA | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1871288241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 S GRETNA GREEN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495831",
"telephone_number": "617-877-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 S GRETNA GREEN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495831",
"telephone_number": "617-877-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLEDGE",
"first_name": "ISABELLA",
"middle_name": "JP",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "G172537",
"primary": true
}
],
"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 Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.