John K McKissock MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G84015 Issued in CA

Legal business name

JOHN K MCKISSOCK MD

Practice address

3440 Lomita Blvd
150
Torrance, CA 90505-4801

Phone

(310) 257-9425

Fax

(310) 530-2146

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John K McKissock, M.D.NPI 1174578827

Title

Proprietor

Phone

(310) 257-9425

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John K McKissock, MD

  • Plastic Surgery Physician
  • Torrance, CA
  • NPI 1174578827
  NPD (past) Authorized official

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1285818096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "150",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-257-9425",
            "fax_number": "310-530-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "150",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054801",
            "telephone_number": "310-257-9425",
            "fax_number": "310-530-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN K MCKISSOCK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "MCKISSOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "310-257-9425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G84015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G840150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Sauter DDS MDS Ortho Dental GP Inc
• John E Stratton, M.D., Inc
• John J Nicosia Inc
• John J O'Hara, M.D., Inc
• John J. Doherty, M.D., PH.D., Inc.
• John M Tsao Inc
• John M. Kennedy, M.D., Inc.
• John N Donlou MD a Medical Corporation
• John P. Ducar, D.D.S., Inc
• John P. Ducar, D.D.S., Inc.

• Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.