Individual provider Active NPI

Isiah Harris, MD

  • Reproductive Endocrinology Physician
  • Redwood City, CA
National Provider Identifier
1184757080
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A121028 Issued in CA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
71507779MedicaidCO

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

LicenseStateTypeSpecialty
47833COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.