Organization Active NPI

Skua Inpatient Services, a Medical Corporation

  • Internal Medicine Physician
  • Tehachapi, CA
National Provider Identifier
1396152633
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SKUA INPATIENT SERVICES, A MEDICAL CORPORATION
Practice address
1100 Magellan Dr
Tehachapi, CA 93561-1380
Phone
(954) 838-2371
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Kathleen Kondas
Title
VP Provider Enrollment
Phone
(973) 251-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1100 Magellan Dr
Tehachapi, CA 93561-1380

Mailing address

PO Box 98896
Las Vegas, NV 89193-8896

Other practice location 1

820 E Mountain View St
Barstow, CA 92311-3004
Phone (760) 256-1761

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1396152633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98896",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MAGELLAN DR",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611380",
            "telephone_number": "954-838-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Mountain View St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113004",
            "country_code": "US",
            "telephone_number": "760-256-1761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKUA INPATIENT SERVICES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "KONDAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "VP PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "973-251-1132"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.