Individual provider Active NPI

Priscilla Anne Slagle, MD

  • Neurology Physician
  • Palm Springs, CA
National Provider Identifier
1952474058
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G15206 Issued in CA
Practice address
946 N Avenida Palos Verdes
Palm Springs, CA 92262
Phone
(760) 323-4259
Fax
(760) 322-7608
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G15206 CA
Neurology Physician 2084N0400X G15206 CA Primary

Addresses

Primary practice location

946 N Avenida Palos Verdes
Palm Springs, CA 92262

Mailing address

946 N Avenida Palos Verdes
Palm Springs, CA 92262
Phone (760) 323-4259

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090414000254 CA Practitioner - PsychiatryPractitioner - NeuropsychiatryPractitioner - Preventive MedicinePractitioner - General PracticePractitioner - Neurosurgery 4688721467 Practice locations: Rancho Mirage, CA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice, Neuropsychiatry, Neurosurgery, Preventive Medicine
Education
Loma Linda University School of Medicine, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24 Scarborough Way
Rancho Mirage, CA 92270-1624
Phone (760) 323-4259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G15206CAMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1952474058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 N AVENIDA PALOS VERDES",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-4259",
            "fax_number": "760-322-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 N AVENIDA PALOS VERDES",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-323-4259",
            "fax_number": "760-322-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "PRISCILLA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G15206",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G15206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.