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HARVEST PEDIATRICS INC NPI 1124226402


NPI Information

NPI: 1124226402
Provider Name: HARVEST PEDIATRICS, INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0599701

Address:
1100 TRANCAS ST
SUITE 270
NAPA, CA
ZIP 94558
Phone: (707) 252-1076
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HARVEST PEDIATRICS, INC is a specialist in Napa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HARVEST PEDIATRICS, INC NPI is 1124226402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 TRANCAS ST
SUITE 270
NAPA, CA
ZIP 94558-908
Phone: (707) 252-1076
Fax: (707) 252-7923

The provider's authorized official is Linda Simas .
The authorized official title is Office Administrator and has the following contact phone number (707) 252-1254.

The CLIA number assigned to this NPI record is 05D0599701 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 6/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG14160CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A39182MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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