Organization Active NPI

Infectious Disease Consultants Med GP

  • Infectious Disease Physician
  • Burbank, CA
National Provider Identifier
1013947712
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE CONSULTANTS MED GP
Practice address
201 S Buena Vista St Ste 440
Burbank, CA 91505-4577
Phone
(818) 500-0935
Fax
(818) 500-0728
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
John Harris, MDNPI 1356648703
Title
MD
Phone
(818) 500-0935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

201 S Buena Vista St Ste 440
Burbank, CA 91505-4577

Mailing address

4400 W Riverside Dr Ste 110-440
Burbank, CA 91505-4046
Phone (818) 500-0935

Other identifiers 1

IdentifierTypeStateIssuer
GR0007180MedicaidCA

Other names 1

  • Infectious Disease Consultants Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227001008 CA Part B Supplier - Clinic/Group Practice 6204723935 Receives reassigned benefits from 2 practitioners
Practice locations: Burbank, CA

National Provider Directory

National Provider Directory

Locations

4400 W Riverside Dr
Ste 110440
Burbank, CA 91505

435 Arden Ave
Ste 350
Glendale, CA 91203
Phone (818) 247-7447

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1013947712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W RIVERSIDE DR STE 110-440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054046",
            "telephone_number": "818-500-0935",
            "fax_number": "818-500-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST STE 440",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054577",
            "telephone_number": "818-500-0935",
            "fax_number": "818-500-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS MED GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-500-0935",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0007180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Consultants Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.