JERRY SLATER (M.D.) – Radiation Oncology Physician, NPI 1245258458

JERRY SLATER (M.D.) is a healthcare provider. based in Los angeles, California. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. G60086 (CA). The NPI Number for JERRY SLATER (M.D.) is 1245258458

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JERRY SLATER (M.D.)
NPI
1245258458
Phone
(909) 558-3014
Address
PO BOX 30969
Enumeration Date
17 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9095582848
Graduation Year
1982 (44 years ago)
PAC ID
9032118294
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20081209000424
Address ID
CA923543450LO11370STXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

677 RADIATION ONCOLOGY in CA

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Provider Addresses for JERRY SLATER (M.D.)

  • PO BOX 30969

    LOS ANGELES, CA 900300969

    Phone: (909) 558-3014

    Type: Mailing

  • Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States

    LOMA LINDA, CA 923542804

    Phone: (909) 558-8311

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081209000424IRadiation OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

What number should I use to identify JERRY SLATER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1245258458 for JERRY SLATER (M.D.).
Is JERRY SLATER (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists JERRY SLATER (M.D.) as active.
How should patients interpret JERRY SLATER (M.D.)'s specialty?
The extract shows Radiation Oncology Physician for JERRY SLATER (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to JERRY SLATER (M.D.)?
The directory associates JERRY SLATER (M.D.) with Los Angeles, California. Check all listed addresses for suites or satellite offices.
Why is information missing for JERRY SLATER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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