Individual provider Active NPI

Sunnie Lee Skiles, MD

  • Pediatrics Physician
  • North Highlands, CA
National Provider Identifier
1033281365
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G66133 Issued in CA
Practice address
4815 Watt Ave
North Highlands, CA 95660-5108
Phone
(916) 454-2345
NPI assigned
Nov 14, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G66133 CA Primary

Addresses

Primary practice location

4815 Watt Ave
North Highlands, CA 95660-5108

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

Other identifiers 1

IdentifierTypeStateIssuer
A44802MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129001519 CA Practitioner - Pediatric Medicine 7214274265 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Sep 17, 2025 Accepting new patients
Eastern Plumas Health Care District CurrentSince Jan 1, 2019 Accepting new patients
Eastern Plumas Health Care Home Health CurrentSince Jan 1, 2019 Accepting new patients
Proyouth Pediatric Health & Wellness PC Current Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Sep 17, 2025 Accepting new patients
Regents of the University of California CurrentSince Feb 10, 2025 Accepting new patients
Regents of the University of California CurrentSince Feb 10, 2025 Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

4815 Watt Ave
North Highlands, CA 95660

500 1st Ave
Portola, CA 96122
Phone (530) 832-4277

480 1st Ave
Portola, CA 96122
Phone (530) 832-6600

6815 Five Star Blvd
Ste 100
Rocklin, CA 95677
Phone (916) 624-1111

1750 Wright St
Ste 1
Sacramento, CA 95825

3701 J St
Ste 201
Sacramento, CA 95816

1860 Howe Ave
Ste 440
Sacramento, CA 95825

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • Direct secure messaging: sskiles227975@santaclaravalley.direct-ci.net
  • Direct secure messaging: sunnie.skiles.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1033281365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 WATT AVE",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605108",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILES",
        "first_name": "SUNNIE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G66133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A44802",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

Verify at the official NPI Registry.