DR. BRANDON JAMES SLADE (NPI# 1154576239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154576239 |
Entity Type | Individual |
Full Name | DR. BRANDON JAMES SLADE |
Credential | DPM |
Practice Address |
1551 Bishop St San Luis Obispo CA 93401-4635 |
Practice Telephone | 8055437788 |
Practice Fax Number | 8055437828 |
Mailing Telephone | 8055437788 |
Mailing Fax Number | 8055437828 |
Enumeration Date | 2008-11-17 |
Last Update Date | 2011-09-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E4945 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
41000226A | IN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PTAN | FH048Z | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700118502 | Brandon Slade | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2010-02-03 |
Street Address |
1551 BISHOP ST |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93401-4635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801897012 | Mick Scott Meiselman | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2005-08-10 |
1285186106 | Mick S. Meiselman, M.d., Professional Corporation | Internal Medicine | 1551 Bishop St, Suite 230, San Luis Obispo, CA 93401-4635 | 2016-10-26 |
1295110674 | Balance Treatment Slo, Inc | Clinic/Center | 1551 Bishop St, Ste 130a, San Luis Obispo, CA 93401-4635 | 2015-07-27 |
1295148492 | Sarah Van Camp | Pediatrics | 1551 Bishop St, San Luis Obispo, CA 93401-4635 | 2014-06-04 |
1629321849 | Karen Ann Fong Md | Pediatrics | 1551 Bishop St, Suite 310, San Luis Obispo, CA 93401-4635 | 2012-10-25 |
1356693683 | Michael S Mcconnell | Registered Nurse | 1551 Bishop St, A160, San Luis Obispo, CA 93401-4635 | 2012-10-10 |
1396025094 | Kelsey Ann Kehoe | Marriage & Family Therapist | 1551 Bishop St, Suite 510- E, San Luis Obispo, CA 93401-4635 | 2011-08-25 |
1992002182 | Allergy Partners of California, Inc. | Allergy & Immunology | 1551 Bishop St, Suite 520, San Luis Obispo, CA 93401-4635 | 2011-02-24 |
1962716316 | Julie Jensen Kean | Advanced Practice Midwife | 1551 Bishop St, C310, San Luis Obispo, CA 93401-4635 | 2010-07-27 |
1508020462 | Elizabeth Ann Spears | Physician Assistant | 1551 Bishop St, Suite 220, San Luis Obispo, CA 93401-4635 | 2008-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
Find all providers in zip 93401 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982701272 | Christopher M Byrne | Podiatrist | 1551 Bishop St Ste B210, San Luis Obispo, CA 93401-4635 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
Find all providers with the same taxonomy |
City | SAN LUIS OBISPO |
Zip Code | 93401 |
Please comment or provide details below to improve the information on DR. BRANDON JAMES SLADE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.