Harihar P Agarwal, M.D.
Individual provider Active NPI Internal Medicine Physician · Lancaster, CA
NPI 1215964150 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1215964150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G46246 (CA)
- Practice address
- 1359 W Avenue J
Lancaster, CA 93534-2935 - Phone
- (661) 726-5000
- Fax
- (661) 726-4347
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080422000934 | CA | Practitioner - Internal Medicine |
4981641776 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46246 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harihar P. Agarwal, MD Inc | Internal Medicine | Current |
Accepting new patients |
Locations
1359 W Avenue J
Lancaster, CA 93534
Phone (661) 726-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G46246 | CA | Yes |
Addresses
Primary practice location
1359 W Avenue J
Lancaster, CA 93534-2935
Mailing address
1359 W Avenue J
Lancaster, CA 93534-2935
Phone (661) 726-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0079280 | Other | CA | MEDICAL GROUP |
| 00G462461 | Medicaid | CA |
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All providers in Lancaster, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.