Organization Active NPI

Robert Skversky, M.D., Inc.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1306036124
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G21450 Issued in CA
Legal business name
ROBERT SKVERSKY, M.D., INC.
Practice address
320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone
(949) 645-2930
Fax
(949) 645-1059
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Authorized official

Name
Robert Nmi Skversky, M.D.NPI 1467546481
Title
Principal
Phone
(949) 645-2930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G21450 CA Primary

Addresses

Primary practice location

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716

Mailing address

320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716
Phone (949) 645-2930

Other names 1

  • Weight No More Doing business as

National Provider Directory

National Provider Directory

Locations

320 Superior Ave
Ste 210
Newport Beach, CA 92663
Phone (949) 645-2930

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1306036124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE",
            "address_2": "SUITE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632716",
            "telephone_number": "949-645-2930",
            "fax_number": "949-645-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT SKVERSKY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SKVERSKY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "949-645-2930",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G21450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weight No More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.