Active NPI
Robert H. Masters MD, Inc.
- Urology Physician
- San Diego, CA
National Provider Identifier
1154516870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A20999
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A209990 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.