Active NPI
Robert Skversky, M.D.
- Family Medicine Physician
- Newport Beach, CA
National Provider Identifier
1467546481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G21450
- Practice address
- 320 Superior Ave
Suite 210
Newport Beach, CA 92663-2716 - Phone
- (949) 645-2930
- Fax
- (949) 645-1059
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
- Robert Skversky
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21450 | CA | MD | Family Medicine Physician |
| 21450 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Skversky, M.D., Inc. | Family Medicine | Past | Accepting new patients |
| Dr. Kabir Ahmed, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Newport Beach, CA
- NPI 1306036124
-
- Medical Specialty Clinic/Center
- Newport Beach, CA
- NPI 1700337482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467546481",
"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": {
"last_name": "SKVERSKY",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G21450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "SKVERSKY",
"credential": "M.D., INC.",
"code": "5",
"type": "Other Name"
}
]
}
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- Kristen Lynn Slater, LCSW
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- Katherine Elizabeth Slezewick, AUD
- Aileen Slivkoff, NP
- SLR Professional Nursing Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.