DR. CHARLES ANTHONY SKIBA JR. (NPI# 1922192046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922192046 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANTHONY SKIBA JR. |
| Credential | D.O. |
| Practice Address |
6330 San Vicente Blvd Suite 310 Los Angeles CA 90048-5425 |
| Mailing Address |
Po Box 462051 Los Angeles CA 90046-8051 |
| Practice Telephone | 3239391603 |
| Practice Fax Number | 3239391643 |
| Mailing Telephone | 3239391603 |
| Mailing Fax Number | 3239391643 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A9707 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 20A9707 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
6330 SAN VICENTE BLVD SUITE 310 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447229570 | Mark Ganjianpour | Orthopaedic Surgery | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2006-03-14 |
| 1184047243 | The Medical Office of Dr Charles Skiba Inc | Family Medicine | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2014-01-27 |
| 1255753554 | Erika A Poulin | Acupuncturist | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2014-01-06 |
| 1053609438 | Layne Kumetz M.d., Inc. | Obstetrics & Gynecology | 6330 San Vicente Blvd, Suite 300, Los Angeles, CA 90048-5425 | 2011-07-19 |
| 1538472162 | Alicia Marie Muccigrosso | Physician Assistant | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2010-07-25 |
| 1770806184 | M Ganjianpour, M.d. A Professional Corporation | Specialist | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2010-03-12 |
| 1932374261 | Sam Bakshian Md A Medical Corporation | Specialist | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2008-04-28 |
| 1629273818 | Tower Orthopaedics and Sports Medicine | Orthopaedic Surgery | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2007-06-18 |
| 1417165309 | Rajan Patel Corporation | Clinic/Center | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2007-05-21 |
| 1760406169 | Sam Bakshian | Orthopaedic Surgery | 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.