Organization Active NPI

John O. Missirian, MD. Inc

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1699166462
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C37815 Issued in CA
Legal business name
JOHN O. MISSIRIAN, MD. INC
Practice address
839 Marina Blvd
San Francisco, CA 94123-1024
Phone
(415) 298-6575
Fax
(415) 292-3659
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. John O. Missirian, MD
Title
President
Phone
(415) 298-6575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X C37815 CA Primary

Addresses

Primary practice location

839 Marina Blvd
San Francisco, CA 94123-1024

Mailing address

839 Marina Blvd
San Francisco, CA 94123-1024
Phone (415) 298-6575

National Provider Directory

National Provider Directory

Locations

1800 Sullivan Ave
Rm 604
Daly City, CA 94015
Phone (415) 474-7900

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1699166462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 MARINA BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231024",
            "telephone_number": "415-298-6575",
            "fax_number": "415-292-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MARINA BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231024",
            "telephone_number": "415-298-6575",
            "fax_number": "415-292-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN O. MISSIRIAN, MD. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "MISSIRIAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-298-6575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C37815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.