Active NPI
John W. Skubic, M.D.
- Orthopaedic Surgery Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G54082
- Practice address
- 1901 W Lugonia Ave Ste 310
Redlands, CA 92374-9706 - Phone
- (909) 557-1600
- Fax
- (909) 557-1732
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G54082 | CA | Primary |
Addresses
Primary practice location
1901 W Lugonia Ave Ste 310
Redlands, CA 92374-9706
Mailing address
1801 Orange Tree LN Ste 200
Redlands, CA 92374-4587
Phone (909) 557-1600
Other practice location 1
7000 Boulder Ave
Highland, CA 92346-3348
Phone (909) 862-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G540820 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 W Lugonia Ave
Suite 120 130
Redlands, CA 92374-9703
Phone (909) 557-1600
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
Hospital & facility affiliations
- Arrowhead Regional Medical Center
- Riverside University Health System-Medical Center
- Redlands Community Hospital
- San Gorgonio Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 20 |
| Laminectomy or laminotomy (partial removal of spine bones) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54082 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| De Anza Orthopedic Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Redlands Community Hospital | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| San Bernardino Medical Orthopaedic Group, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
835 Highland Springs Ave
Ste 210
Beaumont, CA 92223
Phone (626) 493-6348
845 Highland Springs Ave
Ste 101
Beaumont, CA 92223
Phone (909) 500-7860
15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
400 N Pepper Ave
Ste 205
Colton, CA 92324
3889 W Stetson Ave
Ste 100
Hemet, CA 92545
Phone (951) 652-1600
7000 Boulder Ave
Highland, CA 92346
26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610
26600 Cactus Ave
Fl 2
Moreno Valley, CA 92555
25395 Hancock Ave
Ste 240
Murrieta, CA 92562
Phone (951) 239-6077
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
8805 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 912-1750
1801 Orange Tree Ln
Ste 240
Redlands, CA 92374
1901 W Lugonia Ave
Ste 230
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 120210
Redlands, CA 92374
1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626
6180 Brockton Ave
Ste 204
Riverside, CA 92506
Phone (909) 684-6784
4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500
2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Moreno Valley, CA
- NPI 1255762340
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
-
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1164461224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 ORANGE TREE LN STE 200",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744587",
"telephone_number": "909-557-1600",
"fax_number": "909-796-4158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W LUGONIA AVE STE 310",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923749706",
"telephone_number": "909-557-1600",
"fax_number": "909-557-1732"
}
],
"practiceLocations": [
{
"address_1": "7000 Boulder Ave",
"address_purpose": "LOCATION",
"city": "Highland",
"state": "CA",
"postal_code": "923463348",
"country_code": "US",
"telephone_number": "909-862-1191",
"fax_number": "909-796-4158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKUBIC",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G54082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G540820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.