Active NPI
Skilled Biologics, Inc.
- Surgery Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SKILLED BIOLOGICS, INC.
- Practice address
- 2108 N St
Num 7934
Sacramento, CA 95816-5712 - Phone
- (310) 445-5999
- Fax
- (323) 544-4248
- NPI assigned
- Jun 14, 2024
- Last updated
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Chung
- Title
- Chief Executive Officer
- Phone
- (310) 922-3360
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
2108 N St
Num 7934
Sacramento, CA 95816-5712
Mailing address
2108 N St
Num 7934
Sacramento, CA 95816-5712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, FL, DC, MD, DE, OK, AZ, NV, CT, MI, PA, NJ, NY, NM, MS, LA, RI, MA, NC, AL, VA, GA
Enrollment records 23
National Provider Directory
National Provider DirectoryLocations
11150 N 92nd St
Scottsdale, AZ 85260
Phone (480) 860-1766
450 S Claiborne Ave
Bldg A
New Orleans, LA 70112
12230 Roundwood Rd
Timonium, MD 21093
Phone (410) 252-0880
514 Providence Rd
Charlotte, NC 28207
Practitioners & affiliated clinicians
Practitioners 110
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.
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- NPI 1316022569
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- Internal Medicine Physician
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- NPI 1568440618
-
- General Practice Physician
- Glendale, CA
- NPI 1013148857
-
- Internal Medicine Physician
- Boston, MA
- NPI 1487230579
-
- General Practice Physician
- Jacksonville, FL
- NPI 1225097520
-
- Plastic Surgery Physician
- Scottsdale, AZ
- NPI 1376525188
-
- General Practice Physician
- Bay St Louis, MS
- NPI 1174799688
-
- General Practice Physician
- Pembroke Pines, FL
- NPI 1912536350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1376386763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST",
"address_2": "NUM 7934",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 N ST",
"address_2": "NUM 7934",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "310-445-5999",
"fax_number": "323-544-4248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKILLED BIOLOGICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-922-3360"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.