Individual provider Active NPI

Robert Tom Misson, M.D.

  • Internal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1376734285
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G22481 Issued in CA
Practice address
CMC Hospital California Men'S Colony Highway One
San Luis Obispo, CA 93409-0001
Phone
(805) 547-7900
Fax
(805) 547-7586
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G22481 CA Primary

Addresses

Primary practice location

CMC Hospital California Men'S Colony Highway One
San Luis Obispo, CA 93409-0001

Mailing address

CMC Hospital California Men'S Colony Highway One
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G22481CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1376734285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMC HOSPITAL CALIFORNIA MEN'S COLONY HIGHWAY ONE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7900",
            "fax_number": "805-547-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMC HOSPITAL CALIFORNIA MEN'S COLONY HIGHWAY ONE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-547-7900",
            "fax_number": "805-547-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSON",
        "first_name": "ROBERT",
        "middle_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G22481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

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