Donna L Misterly, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

409723 Issued in CA

Practice address

261 E Willow St Ste C
Long Beach, CA 90806-2637

Phone

(562) 290-0212

Fax

(562) 290-0251

NPI assigned

Sep 8, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Obria Medical Clinics of Southern California, Inc.

  • Community Health Clinic/Center
  • Long Beach, CA
  • NPI 1720109341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1053628313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 BERLIN LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494506",
            "telephone_number": "714-846-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E WILLOW ST STE C",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062637",
            "telephone_number": "562-290-0212",
            "fax_number": "562-290-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTERLY",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "409723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "33-0150193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayk Mirzoyan, DO
• Misha Max Heller, M.D., a Professional Medical Corporation
• Christina Mishreki, DC, CCSP
• Crystal Robin Miskin, DPT
• Mission Pharmacy
• Monique Anastasia Mitchell-Hickmon, AMFT
• Lois Jean Mitchell-Smith
• Amara Mitchell
• Ashley Mitchell
• Candise Raquel Mitchell

• Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.