PETER HARRIS NPI 1134563109

NPI Information

NPI: 1134563109
Provider Name: PETER HARRIS
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9780
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Peter Harris is an adolescent medicine pediatrics in Grass Valley, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Peter Harris NPI is 1134563109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 LITTON DR STE 100
GRASS VALLEY, CA
ZIP 95945-078
Phone: (530) 272-9780
Fax: (530) 272-0156

The enumeration date for this NPI number is 4/22/2013 and was last updated on 12/5/2017.

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
1	2080A0000X	Pediatrics	Adolescent Medicine	A136735	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

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

NPI Synchronization or Removal

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