Individual provider Active NPI

Susan Etta Sklar, M.D.

  • Gynecology Physician
  • Long Beach, CA
National Provider Identifier
1851334585
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G46856 Issued in CA
Practice address
2999 E Ocean Blvd Unit 1130
Long Beach, CA 90803-8214
Phone
(562) 245-9027
Fax
(562) 330-1908
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G46856 CA Primary

Addresses

Primary practice location

2999 E Ocean Blvd Unit 1130
Long Beach, CA 90803-8214

Mailing address

5318 E 2ND St Ste 403
Long Beach, CA 90803-5324
Phone (562) 245-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 5, 2016 through Aug 5, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46856CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sklar Center for Women'S Wellness Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1851334585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 E 2ND ST STE 403",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035324",
            "telephone_number": "562-245-9027",
            "fax_number": "562-330-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 E OCEAN BLVD UNIT 1130",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908038214",
            "telephone_number": "562-245-9027",
            "fax_number": "562-330-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "SUSAN",
        "middle_name": "ETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G46856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.