Deborah G Mishek, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

G66413 Issued in CA

Practice address

12625 High Bluff Dr
Suite 302
San Diego, CA 92130-2052

Phone

(858) 581-5053

Fax

(858) 279-4312

NPI assigned

Apr 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1760826705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420538",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921420538",
            "telephone_number": "858-581-5053",
            "fax_number": "858-279-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR",
            "address_2": "SUITE 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302052",
            "telephone_number": "858-581-5053",
            "fax_number": "858-279-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHEK",
        "first_name": "DEBORAH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "G66413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Leah Mirza, PHARMD
• Heline Mirzakhanian, PH.D.
• Louie Oriel Misagal Jr.
• Sarah Lindsay Miscisin, PT, DPT
• Rosa Miser
• Cristofer Ian Mishler Bermudez, CADC II
• David Mishoulam
• Seema Shyam Mishra-Occhino, MD
• Isha Mishra
• Austin James Miskimen

• Developmental - Behavioral Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.