Individual provider Active NPI

Elmer Wilbert Harder, M.D.

  • Obstetrics & Gynecology Physician
  • National City, CA
National Provider Identifier
1215014428
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A38000 Issued in CA
Practice address
655 Euclid Ave Ste 409
National City, CA 91950-2981
Phone
(619) 267-8313
Fax
(619) 472-2008
NPI assigned
Nov 1, 2006
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A38000 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 409
National City, CA 91950-2981

Mailing address

655 Euclid Ave Ste 409
National City, CA 91950-2981
Phone (619) 267-8313

Other identifiers 1

IdentifierTypeStateIssuer
GR0064490MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126000468 CA Practitioner - Obstetrics/Gynecology 7214160134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loma Linda University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bay OBGYNGroup PAC ID 2264805241, 5 clinicians

Practice addresses (Care Compare)

967 Lane Ave
Suite 102
Chula Vista, CA 91914-4530
Phone (619) 267-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38000CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Chula Vista Medical Center Past Accepting new patients
South Bay OB/GYN Medical Group, Inc. PastSince Nov 1, 2024 Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Scripps Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pvh-eharder@primehealthcare.direct-ci.com

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1215014428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 409",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502981",
            "telephone_number": "619-267-8313",
            "fax_number": "619-472-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 409",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502981",
            "telephone_number": "619-267-8313",
            "fax_number": "619-472-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDER",
        "first_name": "ELMER",
        "middle_name": "WILBERT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A38000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.