John David Misa, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27380 Issued in CA

Practice address

26400 La Alameda Ste 208
Mission Viejo, CA 92691-6307

Phone

(949) 606-4698

Fax

(949) 215-2529

NPI assigned

Aug 25, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Saad a. Shakir, M.D. Inc.

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1073658050
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1114233392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 CONTESSA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 LA ALAMEDA STE 208",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916307",
            "telephone_number": "949-606-4698",
            "fax_number": "949-215-2529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Buckingham Way Ste 505",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321913",
            "country_code": "US",
            "telephone_number": "415-294-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-358-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Willow Pass Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205225",
            "country_code": "US",
            "telephone_number": "925-825-1793",
            "fax_number": "925-825-7094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011352",
            "country_code": "US",
            "telephone_number": "800-970-9415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISA",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27380",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Miranda, NP-C
• George Guinto Miranda, MD
• Kristian Daniel Miranda
• Nader Mirhoseni, M.D.
• Hersela Mirzatuny, PHARM D
• Emily Blair Mishler, PA
• Mission Advanced Pain Management & Spine Center, P.C.
• Mission Ambulatory Surgicenter LTD.
• Mission Audiology, Inc
• Mission Center for Longevity & Aesthetic Medicine

• Clinical Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.