Stanley D. Skaggs, M.D. Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

STANLEY D. SKAGGS, M.D. INC

Practice address

12985 Claymont CT
San Diego, CA 92130-2431

Phone

(858) 334-8656

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stanley D. Skaggs, M.D.

Title

Owner

Phone

(858) 334-8656

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379116800000",
    "number": "1902005176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12985 CLAYMONT CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302431",
            "telephone_number": "858-334-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 CLAYMONT CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302431",
            "telephone_number": "858-334-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY D. SKAGGS, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-09-14",
        "status": "A",
        "authorized_official_last_name": "SKAGGS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-334-8656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G392450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3291421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004125760",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G392450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DN730A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Annette Stangl, NP
• Miles Vincent Stanich MD Inc, MD
• Nicole Stanko
• Pavleta Stankoulova, L.AC, MSTOM
• Michael Stankovich
• Amanda Stanley
• Annika Stanley
• Annika Hope Stanley, DO
• Clay A. Stanley, M.D.
• Davud Mark Stanley II

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2013; 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.