Skulski MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SKULSKI MD PC

Practice address

39000 Bob Hope Dr Ste K302
Rancho Mirage, CA 92270-7029

Phone

(760) 773-0700

NPI assigned

Jan 17, 2022

Organization subpart

No

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

Authorized official

Name

Ryszard Skulski, MDNPI 1083611685

Title

Owner/President

Phone

(760) 773-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryszard Skulski, M.D.

  • Cardiovascular Disease Physician
  • Rancho Mirage, CA
  • NPI 1083611685
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1649921198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1362",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701050",
            "telephone_number": "760-773-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR STE K302",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922707029",
            "telephone_number": "760-773-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKULSKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SKULSKI",
        "authorized_official_first_name": "RYSZARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-773-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jennifer Monroe Sipovac, PA-C
• Alyssa Hope Siqueiros
• Kendall Renee Sitarski, PA
• Pushpinder Singh Sivia, MD
• Skilled Mirage LLC
• Ryszard Skulski, M.D.
• Sleep Diagnostic Center of Rancho Mirage
• Sleep Treatment Partners
• Sleepmed of California
• Sleepmed of California Inc

• Medical Specialty Clinic/Center in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.

Verify at the official NPI Registry.