LARRY SLATER MD – NPI #1871669788
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

LARRY SLATER is a physician located in SANTA ROSA, CA. NPPES has assigned the NPI number 1871669788 to LARRY SLATER on November 24, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 11 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 7 years ago on Oct 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LARRY SLATER below.

NPI Profile for
LARRY SLATER

NPI Number
1871669788
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LARRY SLATER
Credentials
MD
Primary location
131 STONY CIR STE 1600
SANTA ROSA, CA 95401
Phone: (707) 541-7700 Fax: (707) 573-5415
11 Other location(s):
717 Center St
Healdsburg, CA 95448-3604
Phone: (707) 541-7700
Fax: (707) 573-5415
101 Rowland Way Ste 200
Novato, CA 94945-5056
Phone: (415) 878-7200
Fax: (415) 369-1387
1383 N McDowell Blvd Ste 150
Petaluma, CA 94954-7118
Phone: (707) 573-5240
Fax: (707) 573-5416
5300 Snyder Ln
Rohnert Park, CA 94928-2915
Phone: (707) 526-3360
Fax: (707) 573-5406
2455 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone: (707) 541-7700
Fax: (707) 573-5415
34 Mark West Springs Rd Fl 2
Santa Rosa, CA 95403-1766
Phone: (707) 573-5240
Fax: (707) 573-5416
34 Mark West Springs Rd Fl 3
Santa Rosa, CA 95403-1766
Phone: (707) 573-5240
Fax: (707) 573-5416
3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone: (707) 573-5240
Fax: (707) 573-5416
4700 Hoen Ave
Santa Rosa, CA 95405-7824
Phone: (707) 526-3360
Fax: (707) 573-5406
4702 Hoen Ave
Santa Rosa, CA 95405-7824
Phone: (707) 526-3360
Fax: (707) 573-5406
510 Doyle Park Dr
Santa Rosa, CA 95405-4570
Phone: (707) 526-1800
Fax: (707) 526-9352
Mailing address
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone: (707) 541-7700 Fax: (707) 573-5415
Sole Proprietor
No
Updated
Identifiers

Identifiers for LARRY SLATER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE MEDICAL LICENSECAG34746
MEDICAIDCA00G347460
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 247985

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.