Active NPI
Sheena Meridan Harris, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1184762346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A82330
- Practice address
- 4600 Broadway
Sacramento, CA 95820 - Phone
- (818) 653-5784
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A82330 | CA | Primary |
| Pediatrics Physician | 208000000X | 58476 | GA |
Addresses
Primary practice location
4600 Broadway
Sacramento, CA 95820
Mailing address
9906 Cortino Way
Elk Grove, CA 95757
Phone (916) 890-9551
Other names 1
- Sheena Gordon
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 |
|---|---|---|---|
| A82330 | CA | MD | Pediatrics Physician |
| 58476 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1184762346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9906 CORTINO WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95757",
"telephone_number": "916-890-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95820",
"telephone_number": "818-653-5784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SHEENA",
"middle_name": "MERIDAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A82330",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "58476",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEENA",
"last_name": "GORDON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.