Active NPI
Ruby a. Skinner, MD Apc
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1649435322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G81701
- Legal business name
- RUBY A. SKINNER, MD APC
- Practice address
- 1100 S Hope St Apt 1116
Los Angeles, CA 90015-2190 - Phone
- (312) 753-8072
- NPI assigned
- Jul 22, 2008
- 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
- Dr. Ruby Alice Skinner, MD
- Title
- Physician/Surgeon
- Phone
- (312) 753-8072
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G81701 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | G81701 | CA | |
| Trauma Surgery Physician | 2086S0127X | G81701 | CA |
Addresses
Primary practice location
1100 S Hope St Apt 1116
Los Angeles, CA 90015-2190
Mailing address
1100 S Hope St Apt 1116
Los Angeles, CA 90015-2190
Phone (312) 753-8072
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1649435322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S HOPE ST APT 1116",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152190",
"telephone_number": "312-753-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S HOPE ST APT 1116",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152190",
"telephone_number": "312-753-8072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUBY A. SKINNER, MD APC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-22",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "RUBY",
"authorized_official_middle_name": "ALICE",
"authorized_official_title_or_position": "PHYSICIAN/SURGEON",
"authorized_official_telephone_number": "312-753-8072",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "G81701",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "G81701",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": "CA",
"license": "G81701",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.