Skypark Preferred Family Care Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION

Practice address

23451 Madison St Ste 140
Torrance, CA 90505-4736

Phone

(310) 543-1787

Fax

(310) 543-1765

NPI assigned

Jan 3, 2018

Last updated

Feb 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas W Lagrelius, MDNPI 1386690915

Title

Authorized Signer

Phone

(310) 543-1787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Lagrelius

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1386690915
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Zanin Lawrence, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1508181157
  Medicare reassignment Care Compare group NPD
• Jeffrey M. Karns, M.D.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1407269673
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1265949960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-543-1787",
            "fax_number": "310-543-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST STE 140",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054736",
            "telephone_number": "310-543-1787",
            "fax_number": "310-543-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYPARK PREFERRED FAMILY CARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "LAGRELIUS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "310-543-1787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Sklar, M.D.
• Skyline Urology
• Skypark Pharmacy Inc (VM Pharmacy)
• Skypark Physical Therapy & Rehabilitation (Skypark Physical Therapy)
• Skypark Physical Therapy, Inc
• Skypark Surgery Center LLC
• Katherine Sladewski, PA
• Vanesa Sladich
• Sleep Apnea Team LLC
• Kristin E Slinger

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, 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 Feb 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.