SKILLED PROVIDER NETWORK
NPI 1528913597
General Practice in Corona, CA

Active since March 03, 2026
110 N LINCOLN AVE STE 100, CORONA, CA 92882(833) 867-8462 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Skilled Provider Network NPPES

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

SKILLED PROVIDER NETWORK (NPI 1528913597) is a healthcare organization registered as a general practice in Corona, California and active in the NPI registry since March 2026. The organization lists Andro Sharobiem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528913597
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSKILLED PROVIDER NETWORK
Location Address110 N LINCOLN AVE STE 100Corona, CA 92882-1853
Mailing Address110 N Lincoln Ave Ste 100Corona, CA 92882-1853
Organization SubpartNo
Authorized OfficialAndro SharobiemCeo · (949) 412-1020
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1528913597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
110 N LINCOLN AVE STE 100, Corona, CA 92882

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skilled Provider Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Skilled Provider Network, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1871308833
110 N LINCOLN AVE STE 100
Corona, CA 92882
(833) 867-8462
✔ PECOSSame address
Nurse Practitioner
NPI 1801123914
11705 SLATE AVE SUITE 200
Riverside, CA 92505
(800) 274-3893
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1952012049
12810 TARRAGON WAY
Riverside, CA 92503
(760) 927-7836
✔ PECOS✔ Accepts Medicare8.3 mi
Internal Medicine
NPI 1073711453
3634 ELIZABETH ST
Riverside, CA 92506
(951) 788-0008
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Skilled Provider Network's NPI number?

The NPI number for Skilled Provider Network is 1528913597. It was assigned to this organization in the NPPES registry on March 3, 2026.

Where is Skilled Provider Network located?

Skilled Provider Network is located at 110 N Lincoln Ave Ste 100, Corona, CA 92882. The listed phone number is (833) 867-8462.

What is Skilled Provider Network's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Skilled Provider Network enrolled in Medicare?

Yes. Skilled Provider Network is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skilled Provider Network?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Skilled Provider Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skilled Provider Network was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.