MR. TRACY L. HARRIS NPI 1154670404

NPI Information

NPI: 1154670404
Provider Name: MR. TRACY L. HARRIS
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Individual
Address:
3914 MURPHY CANYON RD
SUITE# A226
SAN DIEGO, CA
ZIP 92123
Phone: (858) 751-0315
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MR. Tracy L. Harris is a hospice care community based in San Diego, CA. MR. Tracy L. Harris NPI is 1154670404. 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:

3914 MURPHY CANYON RD
SUITE# A226
SAN DIEGO, CA
ZIP 92123-491
Phone: (858) 751-0315

The enumeration date for this NPI number is 8/31/2012 and was last updated on 9/10/2012.

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	251G00000X	Hospice Care, Community Based		550000104	CALIFORNIA	Yes

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
1	HPC01791F	MEDICAID	CALIFORNIA
2	051791	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
3	550000104	OTHER	CALIFORNIA	DBA - AVALON HOSPICE & PALLIATIVE CARE

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: 11/14/2023

NPI Synchronization or Removal

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