Organization Active NPI

Ryszard Skulski MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Rancho Mirage, CA
National Provider Identifier
1922120997
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
RYSZARD SKULSKI MD A MEDICAL CORPORATION
Practice address
39000 Bob Hope Dr
Suite K-302
Rancho Mirage, CA 92270-3221
Phone
(760) 773-0700
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Dr. Ryszard Skulski, MD
Title
President Owner
Phone
(760) 773-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Suite K-302
Rancho Mirage, CA 92270-3221

Mailing address

PO Box 2011
Rancho Mirage, CA 92270-1054

National Provider Directory

National Provider Directory

Locations

39700 Bob Hope Dr
Ste 203
Rancho Mirage, CA 92270
Phone (760) 341-0889

39000 Bob Hope Dr
Ste 302
Rancho Mirage, CA 92270
Phone (760) 773-0700

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1922120997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2011",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "SUITE K-302",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-773-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYSZARD SKULSKI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SKULSKI",
        "authorized_official_first_name": "RYSZARD",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "760-773-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.