Active NPI
James L Hardeman, M.D.
- Pulmonary Disease Physician
- Fullerton, CA
National Provider Identifier
1043399017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- C38943
- Practice address
- 220 Laguna Rd
Suite 2
Fullerton, CA 92835-2523 - Phone
- (714) 446-7454
- Fax
- (714) 879-1049
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C38943 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | C38943 | CA | |
| Pulmonary Disease Physician | 207RP1001X | C38943 | CA | Primary |
Addresses
Primary practice location
220 Laguna Rd
Suite 2
Fullerton, CA 92835-2523
Mailing address
220 Laguna Rd
Suite 2
Fullerton, CA 92835-2523
Phone (714) 446-7454
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C38943 | Other | CA | STATE LICENSE |
| GR0014371 | Other | CA | MEDI-CAL I.D |
| ZZZ97067Z | Other | CA | BLUE SHIELD |
| 110147479 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C38943 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pulmonary Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Irvine, CA
- NPI 1104905199
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1043399017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LAGUNA RD",
"address_2": "SUITE 2",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352523",
"telephone_number": "714-446-7454",
"fax_number": "714-879-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 LAGUNA RD",
"address_2": "SUITE 2",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928352523",
"telephone_number": "714-446-7454",
"fax_number": "714-879-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEMAN",
"first_name": "JAMES",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C38943",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "C38943",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "C38943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C38943",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL I.D",
"identifier": "GR0014371",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ97067Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110147479",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.