Individual provider Active NPI

Andrew Burthe Harris, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1174563399
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A82334 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A82334 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Other identifiers 1

IdentifierTypeStateIssuer
1174563399MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060615000094 NY Practitioner - Diagnostic Radiology 4688686520 Reassigns benefits to 4 organizations
I20071108000695 CA Practitioner - Diagnostic Radiology 4688686520 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians
Halo Medical GroupGroup PAC ID 7012806052, 20 clinicians
Sierra Hematology and Oncology Medical CentersGroup PAC ID 9032102520, 15 clinicians

Practice addresses (Care Compare)

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

3885 Lilac Canyon LN
Altadena, CA 91001-3870
Phone (212) 772-3111

7803 Madison Ave
BLDG a
Citrus Heights, CA 95610-7600
Phone (916) 258-9188

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Shin MRI LLC CurrentSince Feb 1, 2024 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Oct 1, 2023 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Sierra Hematology and Oncology Medical Centers Diagnostic Radiology CurrentSince Jan 25, 2025 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
City of Hope Medical Foundation CurrentSince Oct 17, 2011 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology Current Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Dec 24, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Jan 3, 2023 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Aug 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Dec 16, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Feb 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Sep 1, 2008 Accepting new patients
The Hill Medical Corporation Diagnostic Radiology CurrentSince Sep 1, 2008 Accepting new patients
Shin Imaging LLC CurrentSince Feb 1, 2024 Accepting new patients
Montefiore Medical Center Diagnostic Radiology CurrentSince Dec 16, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Jan 3, 2023 Accepting new patients
Shin Imaging LLC CurrentSince Feb 1, 2024 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients
New York University Medical Center Faculty Practice Radiology Diagnostic Radiology Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients

Locations (25 of 42)

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

223 N 1st Ave
Ste 201
Arcadia, CA 91006
Phone (626) 821-1411

6555 Coyle Ave
Ste 301
Carmichael, CA 95608
Phone (916) 961-0258

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

7803 Madison Ave
Bldg A
Citrus Heights, CA 95610
Phone (916) 258-9188

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

130 W Route 66
Ste 110
Glendora, CA 91740
Phone (818) 914-3384

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1401 Avocado Ave
Ste 608
Newport Beach, CA 92660
Phone (949) 640-2081

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

10 Pico St
Pasadena, CA 91105
Phone (626) 397-5840

625 S Fair Oaks Ave
Ste 180
Pasadena, CA 91105
Phone (626) 229-8969

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

625 S Fair Oaks Ave
Ste 140
Pasadena, CA 91105
Phone (626) 698-7240

625 S Fair Oaks Ave
Ste 325
Pasadena, CA 91105
Phone (626) 229-8969

65 N Madison Ave
Lowr
Pasadena, CA 91101
Phone (626) 793-8189

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1174563399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANDREW",
        "middle_name": "BURTHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A82334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174563399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.