DR. STANLEY DEAN SKAGGS MD NPI 1407960362

NPI Information

NPI: 1407960362
Provider Name: DR. STANLEY DEAN SKAGGS, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
3525 DEL MAR HEIGHTS RD
282
SAN DIEGO, CA
ZIP 92130
Phone: (858) 554-0120
Get Directions

DR. Stanley Dean Skaggs, MD is a cardiovascular disease internal medicine in San Diego, CA. The provider is 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. DR. Stanley Dean Skaggs, MD NPI is 1407960362. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3525 DEL MAR HEIGHTS RD
282
SAN DIEGO, CA
ZIP 92130-122
Phone: (858) 554-0120

The enumeration date for this NPI number is 8/18/2006 and was last updated on 3/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G39245	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G392450	OTHER	CALIFORNIA	BLUE SHIELD
2	DN722Z	OTHER	CALIFORNIA	MEDICARE PTAN
3	B56526	MEDICARE UPIN
4	G39245	MEDICARE ID-TYPE UNSPECIFIED
5	0004125760	OTHER		AETNA
6	3291421	OTHER		CIGNA
7	330898160 920370000	OTHER		TRICARE
8	00G392450	MEDICAID	CALIFORNIA
9	330898160	OTHER	CALIFORNIA	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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