KELLY I SLATER MD
NPI 1710951272
Family Medicine in San Diego, CA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
8808 BALBOA AVE, SAN DIEGO, CA 92123(858) 569-6664(858) 278-4693 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly I Slater Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY I SLATER MD (NPI 1710951272) is an individual family medicine provider in San Diego, California, licensed in California (A69673) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1998).

NPPES Registry Identity

NPI1710951272
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY I SLATERCredential: MD
Location Address8808 BALBOA AVESan Diego, CA 92123-1592
Mailing Address3668 Ruette De VlSan Diego, CA 92130-2500
Fax(858) 278-4693
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1998
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 30, 2021
NPI 1710951272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A69673
Definition
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.
8808 BALBOA AVE, San Diego, CA 92123

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly I Slater Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971740770
PECOS Enrollment IDI20160104000522
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
8808 BALBOA AVE
SAN DIEGO, CA 92123
Physician Assistant
8808 BALBOA AVE
SAN DIEGO, CA 92123
Psychologist (Clinical)
8808 BALBOA AVE
SAN DIEGO, CA 92123
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
Pharmacist
8808 BALBOA AVE
SAN DIEGO, CA 92123
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123
Family Medicine
8808 BALBOA AVE
SAN DIEGO, CA 92123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Slater's NPI number?

The NPI number for Kelly Slater is 1710951272. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Kelly Slater located?

Kelly Slater practices at 8808 Balboa Ave, San Diego, CA 92123. The listed phone number is (858) 569-6664.

What is Kelly Slater's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Slater enrolled in Medicare?

Yes. Kelly Slater is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Slater was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.