Individual provider Active NPI

Graydon W Skeoch, MD

  • Emergency Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1558327387
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G72841 Issued in CA
Practice address
617 E Alvarado St
Fallbrook, CA 92028
Phone
(760) 728-1191
NPI assigned
Apr 21, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G72841 CA Primary
Family Medicine Physician 207Q00000X G72841 CA

Addresses

Primary practice location

617 E Alvarado St
Fallbrook, CA 92028

Mailing address

43525 Calle de Velardo
Temecula, CA 92592-2628
Phone (818) 509-2222

Other identifiers 1

IdentifierTypeStateIssuer
00G728410MedicaidCA

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
I20111214000360 CA Practitioner - Emergency Medicine 4981879392 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Physicians Medical Group IncGroup PAC ID 6406008499, 6 clinicians

Practice addresses (Care Compare)

13222 Bloomfield Ave
Norwalk, CA 90650-3249
Phone (562) 863-4763

4081 E Olympic Blvd
Los Angeles, CA 90023-3330
Phone (323) 267-0477

617 E Alvarado St
Fallbrook, CA 92028-2315
Phone (760) 509-9509

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G72841CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ER Physicians Medical Group, Inc. Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Dec 17, 2017 Accepting new patients
Medplus a Medical Corporation Emergency Medicine CurrentSince Mar 15, 2018 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients

Locations

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

617 E Alvarado St
Fallbrook, CA 92028
Phone (760) 509-9509

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

Interoperability endpoints

  • Direct secure messaging: gskeoc01@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1558327387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43525 CALLE DE VELARDO",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922628",
            "telephone_number": "818-509-2222",
            "fax_number": "818-761-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E ALVARADO ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "92028",
            "telephone_number": "760-728-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEOCH",
        "first_name": "GRAYDON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G72841",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G72841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G728410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.