Individual provider Active NPI

Alla Skalnyi, M.D.

  • Obstetrics & Gynecology Physician
  • Burlingame, CA
National Provider Identifier
1982811956
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A 106476 Issued in CA
Practice address
1720 El Camino Real Ste 145
Burlingame, CA 94010-3231
Phone
(888) 411-6962
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A 106476 CA Primary

Addresses

Primary practice location

1720 El Camino Real Ste 145
Burlingame, CA 94010-3231

Mailing address

80 Lookout Rd
Hillsborough, CA 94010-7135
Phone (650) 279-2000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110329000290 CA Practitioner - Obstetrics/GynecologyPractitioner - General Practice 4688857634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1750 El Camino Real
Suite 103
Burlingame, CA 94010-3210
Phone (650) 239-9340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 106476CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alla Skalnyi M.D. Inc. a Professional Corporation CurrentSince Mar 1, 2012 Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Sutter East Bay Medical Foundation Obstetrics & Gynecology Past Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1750 El Camino Real
Ste 103
Burlingame, CA 94010
Phone (650) 239-9340

1720 El Camino Real
Ste 145
Burlingame, CA 94010
Phone (650) 692-8804

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: askalnyi52371@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1982811956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 LOOKOUT RD",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940107135",
            "telephone_number": "650-279-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 EL CAMINO REAL STE 145",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103231",
            "telephone_number": "888-411-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALNYI",
        "first_name": "ALLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A 106476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.