Active NPI
Misa Hidaka, M.D
- Internal Medicine Physician
- El Cajon, CA
National Provider Identifier
1528085594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G65233
- Practice address
- 855 E Madison Ave
El Cajon, CA 92020-3819 - Phone
- (619) 440-2751
- Fax
- (619) 440-2945
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G65233 | CA | Primary |
Addresses
Primary practice location
855 E Madison Ave
El Cajon, CA 92020-3819
Mailing address
425 N Date St
Escondido, CA 92025-3413
Phone (760) 737-2035
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528085594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N DATE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253413",
"telephone_number": "760-737-2035",
"fax_number": "760-741-2782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 E MADISON AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203819",
"telephone_number": "619-440-2751",
"fax_number": "619-440-2945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIDAKA",
"first_name": "MISA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G65233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.