Active NPI
SKM Medical Technology
- Durable Medical Equipment & Medical Supplies
- Elk Grove, CA
National Provider Identifier
1053857243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SKM MEDICAL TECHNOLOGY
- Practice address
- 9382 Briartown CT
Elk Grove, CA 95624-6067 - Phone
- (916) 296-9138
- NPI assigned
- Jan 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Gorski
- Title
- Owner
- Phone
- (916) 296-9138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
9382 Briartown CT
Elk Grove, CA 95624-6067
Mailing address
9382 Briartown CT
Elk Grove, CA 95624-6067
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484092800000",
"number": "1053857243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9382 BRIARTOWN CT",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956246067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9382 BRIARTOWN CT",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956246067",
"telephone_number": "916-296-9138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKM MEDICAL TECHNOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A",
"authorized_official_last_name": "GORSKI",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "19162969138"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.