Ilya Mischa Skolnikoff, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC30524 Issued in CA

Practice address

710 C St
Suite 9
San Rafael, CA 94901-3857

Phone

(415) 459-4313

Fax

(419) 715-9257

NPI assigned

Dec 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1952584971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 C ST",
            "address_2": "SUITE 9",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013857",
            "telephone_number": "415-459-4313",
            "fax_number": "419-715-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 C ST",
            "address_2": "SUITE 9",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013857",
            "telephone_number": "415-459-4313",
            "fax_number": "419-715-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLNIKOFF",
        "first_name": "ILYA",
        "middle_name": "MISCHA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC30524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Scott Sinnott, MD
• Michael Charles Sintef, QMHP
• Leah Sitler
• Rodas Dawit Sium
• Summer Terra Skau, MFTI
• Michael Skrodzki, M.A., M.F.T.
• Kevin Skyler, NP
• Allison Slater, MD, MBE
• Elan Slavin
• Monica Sligh, FNP

• Nutrition Chiropractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Nutrition Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.