Individual provider Active NPI

David H Skinner, DO

  • Internal Medicine Physician
  • South Gate, CA
National Provider Identifier
1265489678
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A5144 Issued in CA
Practice address
10010 California Ave
South Gate, CA 90280-6006
Phone
(323) 567-2425
Fax
(323) 567-2427
NPI assigned
May 30, 2006
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A5144 CA Primary

Addresses

Primary practice location

10010 California Ave
South Gate, CA 90280-6006

Mailing address

910 E Adams Ave
Orange, CA 92867-5846
Phone (323) 595-1099

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000445 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 0042278350 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5144CAMDInternal Medicine Physician
5144CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC CurrentSince Jan 11, 2014 Accepting new patients
Housecall MD,Inc Internal Medicine CurrentSince Jul 11, 2014 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Doctors Managed Emergency Medical Group Inc. Internal Medicine CurrentSince Jul 19, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Jan 11, 2014 Accepting new patients
California Em-I Medical Services, a Medical Corporation Past Accepting new patients
Vermont Family and Women Health Services Apc PastSince Feb 16, 2025 Accepting new patients
Continuum Medical Associates,a Professional Medical Corporation Past Accepting new patients
Jse Emergency Medical Group Past Accepting new patients

Locations

1171 S Robertson Blvd
Los Angeles, CA 90035
Phone (626) 442-5200

1494 S Robertson Blvd
Ste 200
Los Angeles, CA 90035
Phone (626) 442-5200

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427

2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1265489678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E ADAMS AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675846",
            "telephone_number": "323-595-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806006",
            "telephone_number": "323-567-2425",
            "fax_number": "323-567-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.