Active NPI
Norman J Harris Mda Prof Corp
- Otolaryngology Physician
- Fullerton, CA
National Provider Identifier
1194784553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G42488
- Legal business name
- NORMAN J HARRIS MDA PROF CORP
- Practice address
- 100 E Valencia Mesa Dr
Ste 111
Fullerton, CA 92835 - Phone
- (714) 441-0133
- Fax
- (714) 441-1082
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise L Gaskin
- Title
- Accts Manager
- Phone
- (714) 441-0133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G42488 | CA | Primary |
Addresses
Primary practice location
100 E Valencia Mesa Dr
Ste 111
Fullerton, CA 92835
Mailing address
100 E Valencia Mesa Dr
Ste 111
Fullerton, CA 92835
Phone (714) 441-0133
Other names 1
- Affiliated Ear Nose and Throat
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194784553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR",
"address_2": "STE 111",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-441-0133",
"fax_number": "714-441-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E VALENCIA MESA DR",
"address_2": "STE 111",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92835",
"telephone_number": "714-441-0133",
"fax_number": "714-441-1082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN J HARRIS MDA PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GASKIN",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ACCTS MANAGER",
"authorized_official_telephone_number": "714-441-0133"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": "G42488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affiliated Ear Nose and Throat",
"code": "3",
"type": "Doing Business As"
}
]
}
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- North County Regional Health Foundation
- North County Surgical Medical Group, Inc
- North Orange County Community College District
- North Orange County Pediatrics Chiles Dan W Et Al Gen PTRS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.