Active NPI
Isiah Harris, MD
- Reproductive Endocrinology Physician
- Redwood City, CA
National Provider Identifier
1184757080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- A121028
- Practice address
- 570 Price Ave Ste 200
Redwood City, CA 94063-1433 - Phone
- (415) 964-5618
- NPI assigned
- Mar 13, 2007
- Last updated
- Nov 4, 2019
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 47833 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | A121028 | CA | |
| Reproductive Endocrinology Physician | 207VE0102X | A121028 | CA | Primary |
Addresses
Primary practice location
570 Price Ave Ste 200
Redwood City, CA 94063-1433
Mailing address
1 Daniel Burnham CT Ste 110C
San Francisco, CA 94109-0456
Phone (415) 964-5618
Other practice location 1
1 Daniel Burnham Ct Ste 110C
San Francisco, CA 94109-0456
Phone (415) 964-5618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71507779 | Medicaid | CO |
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 |
|---|---|---|---|
| 47833 | CO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCA Healthone LLC | Past | Accepting new patients | |
| University of Colorado Hospital Authority | Past | Accepting new patients | |
| Reproductive Science Center of the San Francisco Bay Area | Reproductive Endocrinology | Past | Accepting new patients |
| Peter Charles Klatsky, M.D. Inc | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Spring Fertility
- Reproductive Endocrinology Physician
- San Francisco, CA
- NPI 1902275407
-
- Reproductive Endocrinology Physician
- San Ramon, CA
- NPI 1679653406
-
dba HCA HealthONE Rose Hospital
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
- Rehabilitation Hospital Unit
- Aurora, CO
- NPI 1457477275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1184757080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DANIEL BURNHAM CT STE 110C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941090456",
"telephone_number": "415-964-5618",
"fax_number": "415-964-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 PRICE AVE STE 200",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631433",
"telephone_number": "415-964-5618"
}
],
"practiceLocations": [
{
"address_1": "1 Daniel Burnham Ct Ste 110C",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941090456",
"country_code": "US",
"telephone_number": "415-964-5618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "ISIAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "47833",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A121028",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "CA",
"license": "A121028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71507779",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.