Skylar Orthopedics a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G083591 Issued in CA

Legal business name

SKYLAR ORTHOPEDICS A MEDICAL CORPORATION

Practice address

302 W la Veta Ave
Suite 100
Orange, CA 92866-2607

Phone

(714) 769-8400

Fax

(714) 769-8381

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Pennie Leann Telarroja

Title

Management

Phone

(909) 447-4787

Specialties & licenses 1

Addresses

Other names 1

• Frank Giacobetti, M.D. Former legal business name

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1841557691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "714-769-8400",
            "fax_number": "714-769-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "714-769-8400",
            "fax_number": "714-769-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLAR ORTHOPEDICS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "TELARROJA",
        "authorized_official_first_name": "PENNIE",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "909-447-4787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G083591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank Giacobetti, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Harry B Skinner, MD
• Shannon Skochko
• Laura Catherine Skoczylas, MD
• Jonathan Skupsky, MD/PHD
• Kelly Marie Skvarna
• Xiara Slaby
• Mark Joseph Slader, MD
• Selina Danielle Sladics, NP
• James Slatin, M.P.T.
• Karri Slaton

• Specialist in Orange, CA
• Providers in Orange, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.