Individual provider Active NPI

Eloise Skelton, M.D.

  • Obstetrics & Gynecology Physician
  • Barstow, CA
National Provider Identifier
1285774661
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G38025 Issued in CA
Practice address
500 S 7TH Ave Ste D
Barstow, CA 92311-3057
Phone
(760) 256-1777
Fax
(760) 256-7766
NPI assigned
Feb 7, 2007
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G38025 CA Primary
Obstetrics & Gynecology Physician 207V00000X 64166758017 UT

Addresses

Primary practice location

500 S 7TH Ave Ste D
Barstow, CA 92311-3057

Mailing address

500 S 7TH Ave Ste D
Barstow, CA 92311-3057
Phone (760) 256-1777

Other identifiers 3

IdentifierTypeStateIssuer
39442OtherIASTATE
0G380251MedicaidCA
3601937OtherILSTATE OF ILLINOIS

Other names 1

  • Ms. Eloise Skeltonforrest Other name

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
I20040930000546 CA Practitioner - Obstetrics/Gynecology 6002885522 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38025CAMDObstetrics & Gynecology Physician
64166758017UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
Vvipa Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients
High Desert Medical Group Current Accepting new patients
Westview Women's Center PastSince Jan 1, 2006 Accepting new patients

Locations

500 S 7th Ave
Ste Bc
Barstow, CA 92311
Phone (760) 256-1777

12370 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 245-4747

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eloise.skelton.p2@direct.hvvmg.nextgenshare.com
  • Direct secure messaging: eskelton@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1285774661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 7TH AVE STE D",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113057",
            "telephone_number": "760-256-1777",
            "fax_number": "760-256-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 7TH AVE STE D",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113057",
            "telephone_number": "760-256-1777",
            "fax_number": "760-256-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELTON",
        "first_name": "ELOISE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G38025",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "64166758017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "39442",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0G380251",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "3601937",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELOISE",
            "last_name": "SKELTONFORREST",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.