Michael D Masterson, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

G27552 Issued in CA

Legal business name

MICHAEL D MASTERSON, MD

Doing business as

Michael D Masterson, MD, A Medical Corporation

Practice address

227 W Janss Rd
Suite 280
Thousand Oaks, CA 91360-1848

Phone

(805) 496-1360

Fax

(805) 496-8270

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jamie Lee Kelly

Title

Practice Manager

Phone

(805) 496-1360

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michael D Masterson, MD, A Medical Corporation Doing business as

Locations

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1669671731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 280",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-1360",
            "fax_number": "805-496-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "SUITE 280",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-1360",
            "fax_number": "805-496-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D MASTERSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "805-496-1360",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G27552",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G27552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G27552",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael D Masterson, MD, A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Meyer, MD
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• Michael C Lee Inc
• Michael C.Ciano, M.D. Inc. AMC
• Michael H Goldberg Inc
• Michael J. Rieder DMD, Professional Corp
• Michael T Mosher M.D a Medical Corporation
• Michael T. Vercillo, M.D., Inc.
• Joshua Michael, ATC

• Medical Oncology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.