Larry Slater, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

247985 Issued in CA

Practice address

131 Stony Cir Ste 1600
Santa Rosa, CA 95401

Phone

(707) 541-7700

Fax

(707) 573-5415

NPI assigned

Nov 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 29)

Interoperability endpoints

• Direct secure messaging: lslater54751@hisp.ehr.sutterhealth.org

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.

• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  NPD
• Doyle Park Family Medicine

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1396803698
  NPD (past)
• North Coast Faculty Medical Group Inc

  • Otolaryngology Physician
  • Sebastopol, CA
  • NPI 1750616512
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1871669788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 STONY CIR STE 1600",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Doyle Park Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054570",
            "country_code": "US",
            "telephone_number": "707-526-1800",
            "fax_number": "707-526-9352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Mark West Springs Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031766",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Airway Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031678",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057815",
            "country_code": "US",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1383 N McDowell Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949547118",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4702 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Mark West Springs Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031766",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Snyder Ln",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282915",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Center St",
            "address_purpose": "LOCATION",
            "city": "Healdsburg",
            "state": "CA",
            "postal_code": "954483604",
            "country_code": "US",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Rowland Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455056",
            "country_code": "US",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATER",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "247985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G347460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G34746",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Rae Skvaril, M.D.
• Mackenzie Lindy Skye, PH.D., LMFT, BCETS
• Leslie Rachel Slade, CPM, LM
• Susan Elizabeth Slade, R.D.H.
• Katherine Kellie Slater
• Leigh Ann Slater, M.D.
• Chandra Diana Slavonic, MFT
• Wendy Worth Slayden, MS MFTI
• Alice Kay Sleeth, NP
• Lauren P. Sloan

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.