Mick Scott Meiselman, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G42562 Issued in CA

Practice address

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165

Phone

(805) 549-9555

Fax

(805) 549-0444

NPI assigned

Aug 10, 2005

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Northwestern University Feinberg Medical School, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://haiku.northshore.org/Interconnect-FHIR/api/FHIR/R4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1154354504
  Medicare reassignment Care Compare group NPD
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1144648015
  NPD
• Sansum Clinic

  • Multi-Specialty Clinic/Center
  • Santa Barbara, CA
  • NPI 1932121514
  NPD
• Doctors Medical Center of Modesto, Inc.

  dba Doctors Medical Center of Modesto

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1184654923
  NPD (past)
• Pacific Central Coast Health Centers

  dba Dignity Health Women's Center - Southwest

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)
• Endeavor Health Clinical Operations

  dba Glenbrook Hospital Outpatient Pharmacy

  • Pharmacy
  • Glenview, IL
  • NPI 1053367375
  NPD (past)
• Endeavor Health Clinical Operations

  dba Endeavor Health Evanston Hospital

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  NPD (past)
• Endeavor Health Clinical Operations

  dba Endeavor Health Highland Park Hospital

  • General Acute Care Hospital
  • Highland Park, IL
  • NPI 1609817220
  NPD (past)
• Gastroenterology Consultants of the North Shore

  • Gastroenterology Physician
  • Kenilworth, IL
  • NPI 1962403212
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1801897012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 230",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014661",
            "telephone_number": "805-434-5530",
            "fax_number": "805-556-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 S Stratford Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545908",
            "country_code": "US",
            "telephone_number": "805-332-8446",
            "fax_number": "805-332-8173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-434-5530",
            "fax_number": "805-786-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 E Church St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545915",
            "country_code": "US",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Posada Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654060",
            "country_code": "US",
            "telephone_number": "805-434-5497",
            "fax_number": "805-434-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISELMAN",
        "first_name": "MICK",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G42562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccgastro@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Central Coast Gastroenterology Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1255 Las Tablas Rd",
            "address_2": "201",
            "city": "Templeton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "934659750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wilma Kathleen Mechsner, NP
• Med-Stops Medical Clinic, Inc.
• Cheri Lynn Medina
• Micheline J Mehall, RDH 17521
• Sierra Kathrynn Mehlschau, LVN
• Megan Lynne Meisenheimer, PT, DPT, OTR/L, CHT
• Jose Mejia
• Lindsey A Melendrez, APCC
• Cody W Mello
• Gino Anthony Memoli III

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.