STANLEY D. SKAGGS, M.D. INC (NPI# 1902005176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902005176 |
| Entity Type | Organization |
| Organization Name | STANLEY D. SKAGGS, M.D. INC |
| Practice Address |
12985 Claymont Ct San Diego CA 92130-2431 |
| Practice Telephone | 8583348656 |
| Mailing Telephone | 8583348656 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2013-09-14 |
| Authorized Official Name | DR. STANLEY D. SKAGGS (OWNER) |
| Authorized Official Telephone | 8583348656 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 0004125760 | 01 | |
| CA | BLUE SHIELD OF CALIFORNIA | 00G392450 | 01 |
| CA | 00G392450 | 05 | |
| CA | MEDICARE PTAN | DN730A | 01 |
| CIGNA | 3291421 | 01 |
| Street Address |
12985 CLAYMONT CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386113348 | Samir B Damani Md Inc | Internal Medicine | 9191 Towne Centre Dr Ste 510, San Diego, CA 92122-1231 | 2018-11-20 |
| 1861757544 | Kevin Shah | Internal Medicine | 200 W Arbor Dr # 8422, San Diego, CA 92103-1911 | 2012-07-10 |
| 1790084143 | Vartan Nubar Garibyan | Internal Medicine | 4060 4th Ave Ste 500, San Diego, CA 92103-2121 | 2011-03-24 |
| 1780846881 | Julia G Ansari | Internal Medicine | 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 | 2008-06-30 |
| 1609906841 | Laurence Dekanter Favrot | Internal Medicine | 3526 7th Ave, San Diego, CA 92103-5009 | 2007-03-06 |
| 1649314873 | Julian Howard Jacobs | Internal Medicine | 14107 Capewood Ln, San Diego, CA 92128-4208 | 2007-02-19 |
| 1811063316 | Daniel Robert Collins | Internal Medicine | 4647 Zion Ave., San Diego, CA 92120-3724 | 2006-11-27 |
| 1366523607 | H Kirk Hammond | Internal Medicine | 3350 La Jolla Village Dr # 111a, San Diego, CA 92161-0002 | 2006-10-17 |
| 1962598425 | Tri Thuong Nguyen | Internal Medicine | 4344 Convoy St. Ste T ., San Diego, CA 92111-3737 | 2006-10-04 |
| 1477644474 | Scripps Mercy Physicians Cardiology Medical Corporation | Internal Medicine | 4077 Fifth Avenue, Scripps Mercy Hospital, San Diego, CA 92103 | 2006-09-27 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.