Skyblue Am Inc

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

SKYBLUE AM INC

Doing business as

Skyblue Medical Transport

Practice address

14713 Plumeria CT
Bakersfield, CA 93314-8522

Phone

(661) 369-2527

NPI assigned

Oct 19, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Manuel Castanon Jr.

Title

Ceo

Phone

(661) 369-2527

Specialties & licenses 1

Addresses

Other names 1

• SKYBLUE MEDICAL TRANSPORT Doing business as

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1235950569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 PLUMERIA CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148522",
            "telephone_number": "661-369-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14713 PLUMERIA CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933148522",
            "telephone_number": "661-369-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYBLUE AM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "CASTANON",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-369-2527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKYBLUE MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivette Sizemore, LMFT
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• Felicia Faye Skaggs, MS
• Skilled Riverwalk LLC
• R Gordon Skillen, D.C.
• Skyes the Limit Institute of Wellness
• Skyes the Limit Production (Play Thru It)
• Michael Anthony Sladich, D.C., D.A.C.B.R.
• Slamat Ali, MD, PC (Bakersfield Kidney Center)
• Laurie Karen Slate, MFT

• PACE Provider Organization in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• PACE Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.