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SKYWATER HEALTH
NPI 1124589478
Clinic/Center - Primary Care in Palos Verdes Peninsula, CA

Active since March 28, 2019
26516 CRENSHAW BLVD, PALOS VERDES PENINSULA, CA 90274(310) 541-7911(310) 541-4256 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skywater Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKYWATER HEALTH (NPI 1124589478) is a healthcare organization registered as a primary care in Palos Verdes Peninsula, California and active in the NPI registry since March 2019. The organization lists Lorena Baroni, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124589478
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSKYWATER HEALTH
Location Address26516 CRENSHAW BLVDPalos Verdes Peninsula, CA 90274-3970
Mailing Address26516 Crenshaw BlvdPalos Verdes Peninsula, CA 90274-3970 · (310) 541-7911 · Fax (310) 541-4256
Phone(310) 541-7911
Fax(310) 541-4256
Organization SubpartNo
Authorized OfficialLorena BaroniOffice Manager · (310) 541-7911
Enumeration DateMarch 28, 2019
✔ NPI 1124589478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
26516 CRENSHAW BLVD, Palos Verdes Peninsula, CA 90274
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Other Identifiers 2

Other1992734701CA · Medicare
Medicaid1992734701CA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMMEDIATE MEDICAL CARE
Family Medicine
26516 CRENSHAW BLVD
PALOS VERDES ESTATES, CA 90274
Los Angeles County (310) 541-7911
DIRK D RUFFIN M.D.
Family Medicine
26516 CRENSHAW BLVD
PALOS VERDES ESTATES, CA 90274
Los Angeles County (310) 541-7911
WESTFIELD HEALTH
Clinic/Center (Primary Care)
26516 CRENSHAW BLVD
PALOS VERDES PENINSULA, CA 90274
Los Angeles County (310) 541-7911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skywater Health's NPI number?

The NPI number for Skywater Health is 1124589478. It was assigned to this organization in the NPPES registry on March 28, 2019.

Where is Skywater Health located?

Skywater Health is located at 26516 Crenshaw Blvd, Palos Verdes Peninsula, CA 90274. The listed phone number is (310) 541-7911.

What is Skywater Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Skywater Health was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.