Skilled Physicians Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SKILLED PHYSICIANS GROUP

Practice address

3747 Foothill Blvd # B140
Glendale, CA 91214-1700

Phone

(310) 445-5999

NPI assigned

Dec 12, 2019

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bardia Aaron Anvar, MD

Title

President

Phone

(310) 445-5999

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, VA, CT, NY, FL, RI, NC, CA, TN, PA, NJ, MD, DC, OH, GA, AL, LA, NM, TX, MA, NV21 enrollments

Enrollment records 21

Locations

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Alexander Figueroa, MD

  • Surgery Physician
  • Glendale, CA
  • NPI 1336727841

  TX

  Medicare reassignment NPD (past)
• Daniel Kuanyu Lee, M.D.

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1295152106
  Medicare reassignment NPD (past)
• Matthew Hieu Nguyen, D.P.M.

  • Podiatrist
  • Glendale, CA
  • NPI 1770538373
  Medicare reassignment NPD (past)
• Gerald Lane Searle, D.O.

  • General Practice Physician
  • Glendale, CA
  • NPI 1013148857
  Medicare reassignment NPD (past)
• Miriam Abaunza, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1538470778
  Medicare reassignment
• Jason Aguirre, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1003200957
  Medicare reassignment
• Derek A Banyard, M.D.

  • Surgery Physician
  • Orange, CA
  • NPI 1194015313
  Medicare reassignment
• Kenny Chang, PAC

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1134397870
  Medicare reassignment
• Emily H Chen, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Martinez, CA
  • NPI 1114380342
  Medicare reassignment
• Sharon Chow, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1285900373
  Medicare reassignment
• Robert Sung Chung, M.D.

  • Personal Emergency Response Attendant
  • Garden Grove, CA
  • NPI 1316022569
  Medicare reassignment
• Mark P. Clark, MD

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1891874665
  Medicare reassignment

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1902444623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD # 745",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-445-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 FOOTHILL BLVD # B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141700",
            "telephone_number": "310-445-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "ANVAR",
        "authorized_official_first_name": "BARDIA",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-445-5999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sixth Optometric Care of California PC
• SK Hospice Services, Inc.
• Kahilan Skiba
• Ahou Susan Skibba
• Skilled Physician Services Inc
• Skin and Beauty Center (SBC), Inc. - Glendale
• David Sklar
• Danielle Marie Skufca
• Sky Home Healthcare, Inc.
• Skylight Hospice Inc

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.