The Medical Office of Dr Charles Skiba Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

THE MEDICAL OFFICE OF DR CHARLES SKIBA INC

Practice address

9229 Wilshire Blvd # 1
Beverly Hills, CA 90210-5501

Phone

(323) 939-1603

Fax

(323) 939-1643

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Charles Anthony Skiba Jr, D.O.NPI 1922192046

Title

Physician

Phone

(323) 939-1603

Specialties & licenses 1

Addresses

Other names 1

• SKIBA MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Anthony Skiba Jr, D.O.

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1922192046
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1184047243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462051",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900468051",
            "telephone_number": "323-939-1603",
            "fax_number": "323-939-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WILSHIRE BLVD # 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105501",
            "telephone_number": "323-939-1603",
            "fax_number": "323-939-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL OFFICE OF DR CHARLES SKIBA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SKIBA JR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-939-1603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKIBA MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SKIBA MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.