Skywest Medical

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

SKYWEST MEDICAL

Practice address

9420 Reseda Blvd # 503
Northridge, CA 91324-2932

Phone

(818) 581-8396

Fax

(818) 280-6499

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Randall Caldron, MD

Title

Medical Director

Phone

(818) 923-8812

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1053994582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 RESEDA BLVD # 503",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242932",
            "telephone_number": "818-581-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 RESEDA BLVD # 503",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242932",
            "telephone_number": "818-581-8396",
            "fax_number": "818-280-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYWEST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "CALDRON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-923-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SKYWESTMEDDX@GMAIL.COM",
            "affiliation": "N",
            "address_1": "9420 Reseda Blvd # 503",
            "city": "Northridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913242932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sis Medical Supply Inc
• Nancy Sites, LMFT
• SK Nursing Services Inc
• Skin and Beauty Center (SBC), Inc. (Northridge Dermatology Associates Medical Group)
• Sky Home Care & Hospice Inc. (Sky Hospice)
• Eric Sletten, MD
• SLS Home Health Inc. (Tender Loving Care Hospice)
• Smart DME and Supplies, Inc (Smart Medical Supplies)
• Smart Medical Supplies
• SMC Physical Therapy, Inc (SMC Physical Therapy)

• Mobile Radiology Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.