Charles Anthony Skiba Jr, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9707 Issued in CA

Practice address

9229 Wilshire Blvd # 1
Beverly Hills, CA 90210-5501

Phone

(323) 939-1603

Fax

(323) 939-1643

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• The Medical Office of Dr Charles Skiba Inc

  • Family Medicine Physician
  • Beverly Hills, CA
  • NPI 1184047243
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1922192046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462051",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900468051",
            "telephone_number": "323-939-1603",
            "fax_number": "323-939-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9229 WILSHIRE BLVD # 1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105501",
            "telephone_number": "323-939-1603",
            "fax_number": "323-939-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIBA JR",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9707",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simi Kim Singh-Mitchell, M.D.
• Jaskarandeep Singh, MD
• Ravinder Singh, MD
• Flora J Sinha, M.D.
• Marisa Ann Sisk, PSY.D.
• Skin Cancer&Reconstructive Surgery Specialists of Beverly Hills
• Skin Cancer&Reconstructive Surgery Specialists of West Hills
• Skin Cancer&Reconstructive SX Specialists of Valencia
• Skinsense Wellness Clinic
• Sky Sport Spa

• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.