Eva Judith Skulsky, P.A., M.P.A.S.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17593 Issued in CA

Practice address

3923 Waring Rd Ste a
Oceanside, CA 92056-4499

Phone

(760) 727-8782

Fax

(760) 842-7801

NPI assigned

Dec 12, 2012

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North County Gastroenterology Medical Group IncGroup PAC ID 6406749167, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ncgastro@directaddress.net

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.

• North County Gastroenterology Medical Group, Inc.

  • Gastroenterology Physician
  • Oceanside, CA
  • NPI 1710020201
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1841536208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564499",
            "telephone_number": "760-727-8782",
            "fax_number": "760-842-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564499",
            "telephone_number": "760-727-8782",
            "fax_number": "760-842-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKULSKY",
        "first_name": "EVA",
        "middle_name": "JUDITH",
        "credential": "P.A., M.P.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841536208",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncgastro@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3923 Waring Rd Ste A",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920564499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Siroky, MD
• SJC Medical Corporation
• Jennifer Deborah Skehan, M.ED. CCC-SLP
• Anthony Joseph Skinner
• Rory Skopek, FNP-C
• Kathleen Ann Skvarna, DPT
• Darla Slater-Troum, LVN
• Sleep Data, Inc.
• Sara Lorien Sligh, LCSW
• Rebecca Slightam, PT, DPT

• Medical Physician Assistant in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.