Meredith Derby Harsh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19061 Issued in CA

Practice address

23181 Verdugo Dr
Ste 103a
Laguna Hills, CA 92653-1357

Phone

(949) 366-1053

Fax

(949) 916-7710

NPI assigned

Jun 11, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Coast Family Medical Center Inc

  • Clinic/Center
  • Laguna Niguel, CA
  • NPI 1902003791
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1003178534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 13TH ST",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406505",
            "telephone_number": "562-972-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 VERDUGO DR",
            "address_2": "STE 103A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531357",
            "telephone_number": "949-366-1053",
            "fax_number": "949-916-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSH",
        "first_name": "MEREDITH",
        "middle_name": "DERBY",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Leonora Harris-Luna, FNP/PNP
• David Matthew Harris, DDS
• Matthew Eugene Harris, M.D.
• Diane Lynn Harrison
• Sharon Kay Harrison, PT
• Amanda Hart, PSYD
• Harvard Eye Associates
• Harvard Hearing, Inc.
• Madison Hasanagic, MADISON NEWBY
• Ryan Hasenstab

• Physician Assistant in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.