Harvard Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A38304 Issued in CA

Legal business name

HARVARD MEDICAL GROUP INC

Practice address

7750 Dagget St Ste 108
San Diego, CA 92111-2235

Phone

(858) 571-1004

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Edward Ahn, MDNPI 1093805103

Title

President

Phone

(858) 571-1004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Edward Jaesung Ahn, M.D.

  • General Practice Physician
  • San Diego, CA
  • NPI 1093805103
  Medicare reassignment NPD Authorized official
• Pai-Hsiang Chen, D.O

  • Internal Medicine Physician
  • Arcadia, CA
  • NPI 1063405892
  NPD (past)
• Robert Sheldon Pallas, M.D.

  • General Practice Physician
  • Long Beach, CA
  • NPI 1447389085
  NPD (past)
• Gilbert Rosales, M.D.

  • Internal Medicine Physician
  • Panorama City, CA
  • NPI 1972529345
  NPD (past)
• Arnold Yuan, M.D.

  • General Practice Physician
  • Arcadia, CA
  • NPI 1487854659
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1023225455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DAGGET ST STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DAGGET ST STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112235",
            "telephone_number": "858-571-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVARD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-571-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheherazad L. Hartzell, DDS
• Hanna Hartzler
• Samuel Haruki
• Kaitlin Harunk, M.S
• Lidia Harutyunyan
• Austin Scott Harvell, LCSW
• Tyowanda Harvey-Amoke, ASW
• Joseph Richard Harvey-Schmidt, PA-C
• Aaron Harvey, PA-C
• Andrea Cathrine Harvey, MA, MFTI

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.