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TONY DEMICO HARRIS MBR NPI 1881256857


NPI Information

NPI: 1881256857
Provider Name: TONY DEMICO HARRIS MBR
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
8052 TUSCANY ST
FONTANA, CA
ZIP 92336
Phone: (909) 756-3583
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TONY DEMICO HARRIS MBR is an exclusive provider organization in Fontana, CA. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. TONY DEMICO HARRIS MBR NPI is 1881256857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8052 TUSCANY ST
FONTANA, CA
ZIP 92336-800
Phone: (909) 756-3583

The provider's authorized official is Tony Harris .
The authorized official title is Chief Exective Officer and has the following contact phone number (909) 756-3583.

The enumeration date for this NPI number is 7/1/2019 and was last updated on 7/1/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistNo
2177F00000XLodgingNo
3251300000XLocal Education Agency (LEA)No
4251B00000XCase ManagementNo
5251C00000XDay Training, Developmentally Disabled ServicesNo
6251E00000XHome HealthNo
7251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationNo
8251X00000XSupports BrokerageNo
9261QC1800XClinic/CenterCorporate HealthNo
10261QM2800XClinic/CenterMethadoneNo
11261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
12305R00000XPreferred Provider OrganizationNo
13320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
143336M0002XPharmacyMail Order PharmacyNo
15302F00000XExclusive Provider OrganizationYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1005947OTHERCALIFORNIAHEALTHCARE ALLIANCE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.