Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Misco Medical Group Inc

Organization Internal Medicine Physician · NPI 1932469749

Misco Medical Group Inc is an Internal Medicine Physician in Kentfield, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone: (877) 870-9301
Fax: (877) 882-0462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A105161 (CA)

Record details

NPI number1932469749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamison Feramisco — Ceo/Owner · (877) 870-9301
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address31566 Railroad Canyon Rd, 2-130, Canyon Lake, CA 92587-9446

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