Michael Dewit Clayton, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A45346 Issued in CA

Practice address

77 Casa St
Suite 202
San Luis Obispo, CA 93405-5803

Phone

(805) 786-2500

Fax

(805) 781-0423

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c3d5f6c-4d59-4a7f-9170-c96c3d9e561c/

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1609967447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3599 SUELDO ST",
            "address_2": "110",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017329",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST",
            "address_2": "SUITE 202",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055803",
            "telephone_number": "805-786-2500",
            "fax_number": "805-781-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "MICHAEL",
        "middle_name": "DEWIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A45346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Jean Clarke, M.S.
• William Anthony Clarke, LMFT
• Scot Anthony Class, O.D.
• Samantha Clay
• Bianca Clayton, L.AC.
• Robert Edwin Clayton, PSY.D.
• Tracey Cleeland
• Hayley Anna Cleveland
• Joseph Michael Cleveland
• Christine Clickard, FNP

• Urology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.