Active NPI
Sylvia Marie Skefich, DC
- Chiropractor
- Santa Cruz, CA
National Provider Identifier
1790876993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC25805
- Practice address
- 920 41St Ave
Ste G
Santa Cruz, CA 95062 - Phone
- (831) 475-1995
- Fax
- (831) 475-2105
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC25805 | CA | Primary |
Addresses
Primary practice location
920 41St Ave
Ste G
Santa Cruz, CA 95062
Mailing address
920 41St Ave
Ste G
Santa Cruz, CA 95062
Phone (831) 475-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070314000382 | CA | Practitioner - Chiropractic | 9739282641 | Practice locations: Santa Cruz, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
920 41St Ave
G
Santa Cruz, CA 95062-4457
920 41St Ave G
Santa Cruz, CA 95062-4457
Phone (831) 475-1995
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC25805 | CA | MD | Chiropractor |
| 25805 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1790876993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 41ST AVE",
"address_2": "STE G",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-475-1995",
"fax_number": "831-475-2105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 41ST AVE",
"address_2": "STE G",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-475-1995",
"fax_number": "831-475-2105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKEFICH",
"first_name": "SYLVIA",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC25805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.