NPIMap

Individual provider Active NPI

Christopher Shawn Skillern, MD

  • Vascular Surgery Physician
  • Ventura, CA
National Provider Identifier
1205936697
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A79501 Issued in CA
Practice address
100 N Brent St Ste 201
Ventura, CA 93003-2835
Phone
(805) 643-3330
Fax
(805) 643-3331
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A79501 CA Primary

Addresses

Primary practice location

100 N Brent St Ste 201
Ventura, CA 93003-2835

Mailing address

100 N Brent St Ste 201
Ventura, CA 93003-2835
Phone (805) 643-3330

Other practice location 1

2000 Outlet Center Dr Ste 225
Oxnard, CA 93036-0605
Phone (805) 643-3330

Other identifiers 1

IdentifierTypeStateIssuer
770002352OtherRAILROAD MEDICARE

Other names 1

  • C Shawn Skillern Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070505000170 CA Practitioner - Vascular Surgery 2961508007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cardiovascular and Vein Institute IncGroup PAC ID 6709256696, 5 clinicians

Practice addresses (Care Compare)

2000 Outlet Ctr Dr
Suite 225
Oxnard, CA 93036-0605
Phone (805) 643-3330

Hospital & facility affiliations

  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
88.11
Promoting interoperability
97
Improvement activities
40
Cost
63.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)67
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiovascular and Vein Institute, Inc. Vascular Surgery CurrentSince Feb 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Central Coast Cardiovascular ASC LLC Past Accepting new patients
California Cardiac Surgeons - a Medical Group Vascular Surgery Past Accepting new patients
West Coast Vascular Vascular Surgery Past Accepting new patients
Community Memorial Health System Past Accepting new patients
County of Ventura Past Accepting new patients

Locations

3901 Las Posas Rd
Ste 17
Camarillo, CA 93010
Phone (805) 388-2068

2000 Outlet Center Dr
Ste 225
Oxnard, CA 93036
Phone (805) 444-4491

100 N Brent St
Ste 201
Ventura, CA 93003
Phone (805) 620-3499

100 N Brent St
Ste 2
Ventura, CA 93003

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cskillern@wcv.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1205936697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032835",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRENT ST STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032835",
            "telephone_number": "805-643-3330",
            "fax_number": "805-643-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Outlet Center Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360605",
            "country_code": "US",
            "telephone_number": "805-643-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKILLERN",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHAWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A79501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "770002352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C SHAWN",
            "last_name": "SKILLERN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.