Peter Dan Sliskovich (NPI# 1811970015, PAC ID# 0244426542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1811970015 |
| PAC ID by PECOS | 0244426542 |
| Professional Enrollment ID | I20101129001000 |
| Full Name | Peter Dan Sliskovich |
| Organization Legal Name | DR MONA SHAH PROFESSIONAL CORPORATION |
| Address |
1600 S Gaffey St San Pedro CA 90731-4628 |
| Phone Number | 3105480201 |
| Gender | M |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062548084 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| 050351 | TORRANCE MEMORIAL MEDICAL CENTER |
| 050353 | PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE |
| Address | Phone | Organization |
|---|---|---|
| 1600 S Gaffey St, San Pedro, CA 90731-4628 | 3105480201 | DR MONA SHAH PROFESSIONAL CORPORATION |
| Organization Legal Name | DR MONA SHAH PROFESSIONAL CORPORATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirko A Giaconi | Cardiovascular Disease (cardiology) | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Curtis Foster | Family Medicine | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Mona S Shah | Internal Medicine | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Valerie Grant | General Practice | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Kimberly S Hua | Physician Assistant | Dr Mona Shah Professional Corporation | 1294 W 6th St, Suite 205, San Pedro, CA 90731-2993 |
| Street Address |
1600 S GAFFEY ST |
| City | SAN PEDRO |
| State | CA |
| Zip | 90731-4628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirko A Giaconi | Cardiovascular Disease (cardiology) | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Valerie Grant | General Practice | Dr Mona Shah Professional Corporation | 1600 S Gaffey St, San Pedro, CA 90731-4628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte P Gilmore | Chiropractic | 1861 N Gaffey St G, San Pedro, CA 90731-1259 | |
| Gerard Donayre | Physical Therapy | 1921 N Gaffey St I, San Pedro, CA 90731-1264 | |
| Yvonne B Marinkovich | Chiropractic | 1851 N Gaffey St B, San Pedro, CA 90731-1271 | |
| Stuart M Shaffer | Psychologist, Clinical | 753 W Basin St, San Pedro, CA 90731-1301 | |
| Cheryl J Hanks | Physical Therapy | Excel Physical Therapy Associates Inc. | 301 S Bandini St, San Pedro, CA 90731-2324 |
| Tanya Diaz | Psychologist, Clinical | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Michael Obrien Jr | Optometry | 575 W 6th St, San Pedro, CA 90731-2521 | |
| Joseph Ford | Internal Medicine | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Josephine M Borromeo | Nurse Practitioner | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Jennifer Chen | Nurse Practitioner | Harbor Community Clinic Inc | 593 W 6th St, San Pedro, CA 90731-2521 |
| Find all physicians in zip 90731 | |||
| City | SAN PEDRO |
| Zip Code | 90731 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN PEDRO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Peter Dan Sliskovich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.