OrganizationActive
Skywater Health
NPI 1124589478 · Primary Care Clinic/Center · Palos Verdes Peninsula, CA
Provider details
- NPI number
- 1124589478
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lorena Baroni, Office Manager(310) 541-7911
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26516 Crenshaw Blvd
Palos Verdes Peninsula, CA 90274-3970
Phone: (310) 541-7911
Fax: (310) 541-4256
Street-level locationGet directions
Mailing address
26516 Crenshaw Blvd
Palos Verdes Peninsula, CA 90274-3970
Registry dates
- Enumerated
- 2019-03-28
- Last updated
- 2019-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.