DR. PETER D. SLISKOVICH (NPI# 1811970015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811970015 |
| Entity Type | Individual |
| Full Name | DR. PETER D. SLISKOVICH |
| Credential | M.D. |
| Practice Address |
1360 W 6th St San Pedro CA 90732-3514 |
| Mailing Address |
1600 S Gaffey St San Pedro CA 90731-4628 |
| Practice Telephone | 3108332461 |
| Practice Fax Number | 3108336342 |
| Mailing Telephone | 3105480201 |
| Mailing Fax Number | 3105473340 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G42414 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1366 W 7th St, San Pedro, CA 907323517 | 3108332461 | 3105473340 |
| Street Address |
1360 W 6TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092859 | Carmen C Capodanno | Dermatology | 1360 W 6th St, Ste 270, San Pedro, CA 90732-3539 | 2005-06-08 |
| 1760832851 | Harbor Foot and Ankle Podiatric Medical Group | Podiatrist | 1360 W 6th St, Suite 150w, San Pedro, CA 90732-3514 | 2016-06-20 |
| 1861850141 | Rebecca Li | Physical Therapy Assistant | 1360 W 6th St, Suite 210, San Pedro, CA 90732-3514 | 2016-02-02 |
| 1891176616 | Bruce D. Levine, D.p.m., Professional Corporation | Non-Pharmacy Dispensing Site | 1360 W 6th St, Suite 150, West Building, San Pedro, CA 90732-3514 | 2015-06-17 |
| 1750799771 | Matin R Hemmat | Internal Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2014-07-23 |
| 1457790339 | San Pedro Surgery Center, Inc. | Clinic/Center | 1360 W 6th St, Suite D, San Pedro, CA 90732-3514 | 2013-06-24 |
| 1740539048 | Lori Rochelle Krieger | Pediatrics | 1360 W 6th St, Suite 300, San Pedro, CA 90732-3514 | 2012-08-31 |
| 1083997985 | Barry Rodgveller Dpm Podiatry Corporation | Podiatrist | 1360 W 6th St, Suite 240, San Pedro, CA 90732-3514 | 2011-09-27 |
| 1205135878 | James T London M D A Professional Corporation | Orthopaedic Surgery | 1360 W 6th St, Suite 305, San Pedro, CA 90732-3569 | 2011-03-22 |
| 1316248313 | Peter D. Sliskovich, Md, Inc. | Family Medicine | 1360 W 6th St, Suite 120 West Building, San Pedro, CA 90732-3514 | 2010-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932370947 | Philip Gustave Martin | General Practice | 3432 Gurnard Ave, San Pedro, CA 90732-4716 | 2008-03-18 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| 1033288873 | Allen Elwood Mcdaniels | General Practice | 732 W Ninth Street, Suite 200, San Pedro, CA 90731-3634 | 2006-11-07 |
| 1063063451 | Total Body Advanced Medicine, Inc. | General Practice | 789 W 9th St, San Pedro, CA 90731-3601 | 2019-09-26 |
| 1255639522 | Mark Perez, M.d. | General Practice | 1366 W 7th St, Suite 4-b, San Pedro, CA 90732-3500 | 2011-03-10 |
| 1376744698 | Lewis Wong | General Practice | 1294 W 6th Street, #205, San Pedro, CA 90732 | 2007-05-31 |
| 1962629162 | Great Harbor Family & Sports Medicine, Inc | General Practice | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992986 | Lindsay Fry | General Practice | 375 Bonair St Apt 1, La Jolla, CA 92037-5911 | 2020-11-04 |
| 1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
| 1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
| 1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
| 1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PETER D. SLISKOVICH.
| 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.