Individual provider Active NPI

Stephen Ed Harman, CCP

  • Perfusionist
  • Sunnyvale, CA
National Provider Identifier
1043499494
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
License
069032 Issued in CA
Practice address
1162 Morse Ave
Apt # 202
Sunnyvale, CA 94089-4629
Phone
(650) 521-2414
Fax
(650) 615-9995
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X 069032 CA Primary

Addresses

Primary practice location

1162 Morse Ave
Apt # 202
Sunnyvale, CA 94089-4629

Mailing address

1162 Morse Ave
Apt # 202
Sunnyvale, CA 94089-4629
Phone (650) 521-2414

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
069032CAMDPerfusionist

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1043499494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 MORSE AVE",
            "address_2": "APT # 202",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940894629",
            "telephone_number": "650-521-2414",
            "fax_number": "650-615-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 MORSE AVE",
            "address_2": "APT # 202",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940894629",
            "telephone_number": "650-521-2414",
            "fax_number": "650-615-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "STEPHEN",
        "middle_name": "ED",
        "name_prefix": "Mr.",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "CA",
            "license": "069032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.