Provider Type Icon

DR. JEFFREY LYNN HARRELL M.D. NPI 1396058095


NPI Information

NPI: 1396058095
Provider Name: DR. JEFFREY LYNN HARRELL, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

PECOS Registration: Yes

Address:
2655 1ST ST STE 360
SIMI VALLEY, CA
ZIP 93065
Phone: (805) 583-7640
Get Directions

DR. Jeffrey Lynn Harrell, M.D. is an interventional cardiology internal medicine in Simi Valley, CA with 15 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Jeffrey Lynn Harrell, M.D. NPI is 1396058095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

2655 1ST ST STE 360
SIMI VALLEY, CA
ZIP 93065-581
Phone: (805) 583-7640
Fax: (805) 583-7641

The NPI 1396058095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/22/2010 and was last updated on 12/15/2020.


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
1207R00000XInternal MedicineMT196099PENNSYLVANIANo
2207RI0011XInternal MedicineInterventional CardiologyA144982CALIFORNIAYes

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

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.