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SKYLINE UROLOGY
NPI 1730136573
Specialist in Torrance, CA

Active since May 27, 2006
23456 HAWTHORNE BLVD, BUILDING 5, SUITE 260, TORRANCE, CA 90505(310) 602-5005(310) 373-7895 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2021, May 20, 2019, Apr 23, 2019 (3 updates tracked since 2019).

About Skyline Urology NPPES

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

SKYLINE UROLOGY (NPI 1730136573) is a healthcare organization registered as a specialist in Torrance, California and active in the NPI registry since May 2006. The organization lists Kevin Blasingame, Dispensary Manager, as its authorized official.

NPPES Registry Identity

NPI1730136573
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSKYLINE UROLOGY
Location Address23456 HAWTHORNE BLVD, BUILDING 5, SUITE 260Torrance, CA 90505
Mailing Address23456 Hawthorne Blvd, Ste 260, Building #5Torrance, CA 90505-6658 · (310) 602-5005 · Fax (310) 373-7895
Phone(310) 602-5005
Fax(310) 373-7895
Organization SubpartNo
Authorized OfficialKevin BlasingameDispensary Manager · (858) 888-7700
Enumeration DateMay 27, 2006
Last NPPES UpdateSeptember 20, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2021
✔ NPI 1730136573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · FNP38252
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
23456 HAWTHORNE BLVD, BUILDING 5, Torrance, CA 90505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Skyline Urology, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Urology5
Diagnostic Radiology1
Medical Oncology1
Nurse Practitioner1
Pathology1
Radiation Oncology1

Clinicians, nearest first (10)

Kambiz Dardashti, MD
Urology
NPI 1073567434
23600 TELO AVE STE 2200
Torrance, CA 90505
(310) 534-8400
✔ PECOS✔ Accepts Medicare0.7 mi
Marc Stratton, MD
Urology
NPI 1386698330
23600 TELO AVE STE 2200
Torrance, CA 90505
(310) 534-8400
✔ PECOS0.7 mi
Lawrence Flechner, M.D., PH.D.
Urology
NPI 1689815458
23600 TELO AVE STE 220
Torrance, CA 90505
(310) 534-8400
✔ PECOS✔ Accepts Medicare0.7 mi
Fredrick Wolk, M.D.
Urology
NPI 1669426078
606 ESPLANADE APT 5
Redondo Beach, CA 90277
(310) 897-1613
✔ PECOS2.7 mi
Abbey Gaske, MD
Urology
NPI 1265426886
1127 WILSHIRE BLVD SUITE 1001
Los Angeles, CA 90017
(213) 977-1176
✔ PECOS✔ Accepts Medicare17 mi
Aram Salem, M.D.
Diagnostic Radiology
NPI 1518997220
FILE 1645
Pasadena, CA 91199
(310) 602-5020
✔ PECOS✔ Accepts Medicare26 mi
Portia Shore, NURSE PRACTITIONER
Nurse Practitioner
NPI 1386274819
18370 BURBANK BLVD STE 514
Tarzana, CA 91356
(818) 776-0660
✔ PECOS✔ Accepts Medicare27 mi
Paul Kim, M.D.
Radiation Oncology
NPI 1629205190
2895 EDINGER AVE
Tustin, CA 92780
(949) 381-5800
✔ PECOS✔ Accepts Medicare32 mi
Anthony Lam, MD
Medical Oncology
NPI 1659502839
2895 EDINGER AVE
Tustin, CA 92780
(949) 381-5800
✔ PECOS✔ Accepts Medicare32 mi
David Park, M.D., PH.D.
Pathology
NPI 1396928040
505 PARNASSUS AVE DEPT OF PATHOLOGY, M-580
San Francisco, CA 94143
(415) 353-1613
✔ PECOS✔ Accepts Medicare357 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 Skyline Urology's NPI number?

The NPI number for Skyline Urology is 1730136573. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Skyline Urology located?

Skyline Urology is located at 23456 Hawthorne Blvd, Building 5 Suite 260, Torrance, CA 90505. The listed phone number is (310) 602-5005.

What is Skyline Urology's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Skyline Urology enrolled in Medicare?

Yes. Skyline Urology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skyline Urology?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Skyline Urology. 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 Urology (5), Diagnostic Radiology (1) and Medical Oncology (1). Of these, 4 practice 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 Skyline Urology was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.