Individual provider Active NPI

Steven William Harrison, M.D.

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1245309806
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45884 Issued in CA
Practice address
1441 Constitution
Salinas, CA 93906-3100
Phone
(831) 755-4147
Fax
(831) 783-1409
NPI assigned
Nov 7, 2006
Reactivated
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A45884 CA Primary

Addresses

Primary practice location

1441 Constitution
Salinas, CA 93906-3100

Mailing address

PO Box 568
King City, CA 93930-0568
Phone (831) 385-5977

Other identifiers 4

IdentifierTypeStateIssuer
00A458840MedicaidCA
ZZZ60572ZOtherCABLUE SHIELD
RHM03953FMedicaidCA
770530193OtherCABLUE CROSSS

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
I20090914000557 CA Practitioner - Family Practice 1658356910 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45884CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Memorial Healthcare System Family Medicine CurrentSince Jun 18, 2024 Accepting new patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
County of Monterey CurrentSince Oct 1, 2008 Accepting new patients
County of Monterey Family Medicine CurrentSince Oct 21, 2012 Accepting new patients
County of Monterey Behavioral Health CurrentSince Oct 1, 2008 Accepting new patients
County of Monterey Current Accepting new patients

Locations

850 5th St
Gonzales, CA 93926
Phone (831) 657-3601

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

Dept LA 24403
Pasadena, CA 91185

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1245309806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939300568",
            "telephone_number": "831-385-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4147",
            "fax_number": "831-783-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "STEVEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-06-08",
        "deactivation_date": "2011-03-16",
        "reactivation_date": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A458840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ60572Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM03953F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSS",
            "identifier": "770530193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.