Jonah Adrian Sklan, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95013897 Issued in CA

Practice address

28925 Bardell Dr
Agoura Hills, CA 91301-2133

Phone

(714) 642-1577

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jsklan1358541@direct.uclahealth.org

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1750061396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28925 BARDELL DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012133",
            "telephone_number": "714-642-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28925 BARDELL DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012133",
            "telephone_number": "714-642-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAN",
        "first_name": "JONAH",
        "middle_name": "ADRIAN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95013897",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95013897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simple Health Management Inc.
• Anita P Singh-Craighead, M.D.
• Kuldeep Singh
• Lisa Ann Sisson, MA, MFT
• Christine Ann Skehen
• Daniel C Smith, D.D.S.
• Deborah L Smith, PSYD
• Vivian N Sobel, L.AC. DIPL AC.
• Ali Soltanirad, DDS
• Dena Somerfield

• Adult Health Nurse Practitioner in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.