Active NPI
Robert A Harwood, M.D.
- Surgery Physician
- Tarzana, CA
National Provider Identifier
1104840339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G9023A
- Practice address
- 18321 Clark St
Tarzana, CA 91356-3501 - Phone
- (818) 887-7375
- Fax
- (818) 887-7375
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G9023A | CA | Primary |
Addresses
Primary practice location
18321 Clark St
Tarzana, CA 91356-3501
Mailing address
P.O.Box 9126
Canoga Park, CA 91309-0126
Phone (818) 709-8161
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9023A | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303689600000",
"number": "1104840339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O.BOX 9126",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913090126",
"telephone_number": "818-709-8161",
"fax_number": "818-709-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18321 CLARK ST",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563501",
"telephone_number": "818-887-7375",
"fax_number": "818-887-7375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARWOOD",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G9023A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.