Physician Compare National (NPI:1417942525)

HEALTHCARE PROVIDER: STEPHEN THOMAS SKARDA D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1417942525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810013653
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100929000540
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SKARDA
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1431 OAKLAND BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	WALNUT CREEK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	945968404
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9259475770
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y