Active NPI
Gayle Ruth Misle, MD
- Anesthesiology Physician
- San Leandro, CA
National Provider Identifier
1609846401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G38840
- Practice address
- 15035 E 14TH St
San Leandro, CA 94578-1901 - Phone
- (510) 276-2800
- Fax
- (510) 276-2896
- NPI assigned
- Jan 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G38840 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G38840 | CA |
Addresses
Primary practice location
15035 E 14TH St
San Leandro, CA 94578-1901
Mailing address
PO Box 2186
Castro Valley, CA 94546-0186
Phone (510) 885-0225
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609846401 | Other | CA | NPI |
| DT775B | Other | CA | PTAN |
| DT785Z | Other | CA | PTAN |
| G38840 | Other | LICENSE NUMBER | |
| 1831499607 | Other | CA | NPI |
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": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1609846401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2186",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945460186",
"telephone_number": "510-885-0225",
"fax_number": "510-885-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15035 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781901",
"telephone_number": "510-276-2800",
"fax_number": "510-276-2896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISLE",
"first_name": "GAYLE",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G38840",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G38840",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1609846401",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DT775B",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "DT785Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "G38840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1831499607",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.