Individual provider Active NPI

Donald T Harwick, P.A.

  • Medical Physician Assistant
  • California City, CA
National Provider Identifier
1215136957
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13177 Issued in CA
Practice address
9300 N Loop Blvd
Suite a&B
California City, CA 93505-2269
Phone
(760) 373-1256
Fax
(760) 373-1214
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA13177 CA Primary

Addresses

Primary practice location

9300 N Loop Blvd
Suite a&B
California City, CA 93505-2269

Mailing address

9300 N Loop Blvd
Suite a&B
California City, CA 93505-2269
Phone (760) 373-1256

Other identifiers 1

IdentifierTypeStateIssuer
PA13177OtherCAPA LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529001422 CA Practitioner - Physician Assistant 2466675053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Medical Center TehachapiGroup PAC ID 1456646629, shared by 5 NPIs, 56 clinicians

Practice addresses (Care Compare)

9350 N Loop Blvd
California City, CA 93505-2269
Phone (760) 373-1785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13177CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 1, 2020 Accepting new patients
Cal City Clinic Past Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients
Adventist Health Medical Center Tehachapi Past Accepting new patients

Locations

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

20211 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 443-0088

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1215136957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 N LOOP BLVD",
            "address_2": "SUITE A&B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "760-373-1256",
            "fax_number": "760-373-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 N LOOP BLVD",
            "address_2": "SUITE A&B",
            "city": "CALIFORNIA CITY",
            "state": "CA",
            "postal_code": "935052269",
            "telephone_number": "760-373-1256",
            "fax_number": "760-373-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWICK",
        "first_name": "DONALD",
        "middle_name": "T",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA13177",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in California City, CA

Sources for this page

Verify at the official NPI Registry.