Organization Active NPI

Robert H. Masters MD, Inc.

  • Urology Physician
  • San Diego, CA
National Provider Identifier
1154516870
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A20999 Issued in CA
Legal business name
ROBERT H. MASTERS MD, INC.
Practice address
3405 Kenyon St
Suite 504
San Diego, CA 92110-5003
Phone
(619) 226-8200
Fax
(619) 226-8203
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Robert H Masters, MD
Title
Cheif Executive Officer
Phone
(619) 226-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X A20999 CA Primary

Addresses

Primary practice location

3405 Kenyon St
Suite 504
San Diego, CA 92110-5003

Mailing address

3405 Kenyon St
Suite 504
San Diego, CA 92110-5003
Phone (619) 226-8200

Other identifiers 1

IdentifierTypeStateIssuer
00A209990MedicaidCA

National Provider Directory

National Provider Directory

Locations

3405 Kenyon St
Ste 504
San Diego, CA 92110
Phone (619) 226-8200

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1154516870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 504",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105003",
            "telephone_number": "619-226-8200",
            "fax_number": "619-226-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 504",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105003",
            "telephone_number": "619-226-8200",
            "fax_number": "619-226-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. MASTERS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-226-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A20999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A209990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.