Healthcare Provider Details

I. General information

NPI: 1083528061
Provider Name (Legal Business Name): GEOFFREY SKRABER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 I ST
SACRAMENTO CA
95814-2400
US

IV. Provider business mailing address

2519 VAQUERO VISTA DR
AUBURN CA
95603-9087
US

V. Phone/Fax

Practice location:
  • Phone: 916-874-6752
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZX2200X
TaxonomyOrthopedic Assistant
License Number24-1138
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: