Active NPI
Robert Myslin
- Psychiatry Physician
- Twentynine Palms, CA
National Provider Identifier
1639323199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A113270
- Practice address
- Navy Medical Readiness and Training Command
1145 Sturgis Rd
Twentynine Palms, CA 92278-8275 - Phone
- (760) 830-2117
- NPI assigned
- Nov 11, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A113270 | CA | Primary |
Addresses
Primary practice location
Navy Medical Readiness and Training Command
1145 Sturgis Rd
Twentynine Palms, CA 92278-8275
Mailing address
Santa Margarita Road, BLDG H100
Attention: Code 094
Camp Pendleton, CA 92055-5191
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113270 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1639323199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SANTA MARGARITA ROAD, BLDG H100",
"address_2": "ATTENTION: CODE 094",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "920555191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVY MEDICAL READINESS AND TRAINING COMMAND",
"address_2": "1145 STURGIS RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922788275",
"telephone_number": "760-830-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYSLIN",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-11",
"last_updated": "2022-01-14",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A113270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.