Individual provider Active NPI

Harry Petropoulos, M.D

  • Emergency Medicine Physician
  • Oakland, CA
National Provider Identifier
1255468187
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A-30881 Issued in CA
Practice address
7817 Oakport St Ste 140
Oakland, CA 94621-2036
Phone
(510) 638-0701
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A-30881 CA Primary

Addresses

Primary practice location

7817 Oakport St Ste 140
Oakland, CA 94621-2036

Mailing address

22139 Castille LN Apt 64
Hayward, CA 94541-2867
Phone (510) 583-1002

Other names 1

  • Mr. Haralambos Petropoulos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-30881CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Healthworks Medical Group PC Past Accepting new patients

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255468187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22139 CASTILLE LN APT 64",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412867",
            "telephone_number": "510-583-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7817 OAKPORT ST STE 140",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212036",
            "telephone_number": "510-638-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROPOULOS",
        "first_name": "HARRY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A-30881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARALAMBOS",
            "last_name": "PETROPOULOS",
            "prefix": "MR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.