Organization Active NPI

Robert Harford M.D. a Medical Corporation

  • Dermatology Physician
  • Hemet, CA
National Provider Identifier
1205819349
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G86180 Issued in CA
Legal business name
ROBERT HARFORD M.D. A MEDICAL CORPORATION
Practice address
750 E Latham Ave
Suite 3
Hemet, CA 92543-4370
Phone
(951) 658-2272
Fax
(951) 766-7653
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Robert Harford, MDNPI 1073596870
Title
President
Phone
(951) 658-2272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X G86180 CA Primary
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0900X G86180 CA
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X G86180 CA

Addresses

Primary practice location

750 E Latham Ave
Suite 3
Hemet, CA 92543-4370

Mailing address

750 E Latham Ave
Suite 3
Hemet, CA 92543-4370
Phone (951) 658-2272

Other identifiers 1

IdentifierTypeStateIssuer
1073596870OtherROBERT HARFORD NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000284 CA Part B Supplier - Clinic/Group Practice 0749226835 Receives reassigned benefits from 1 practitioner
Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Locations

750 E Latham Ave
Ste 3
Hemet, CA 92543
Phone (951) 658-2271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1205819349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE",
            "address_2": "SUITE 3",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-658-2272",
            "fax_number": "951-766-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE",
            "address_2": "SUITE 3",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-658-2272",
            "fax_number": "951-766-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HARFORD M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "HARFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-658-2272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G86180",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G86180",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G86180",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT HARFORD NPI",
            "identifier": "1073596870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.