Individual provider Active NPI

Harriet Janice Wilburne, M.D.

  • Child & Adolescent Psychiatry Physician
  • Torrance, CA
National Provider Identifier
1285676056
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G031705 Issued in CA
Practice address
25550 Hawthorne Blvd
214
Torrance, CA 90505-6825
Phone
(310) 303-3963
Fax
(310) 303-3948
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G031705 CA
Child & Adolescent Psychiatry Physician 2084P0804X G031705 CA Primary

Addresses

Primary practice location

25550 Hawthorne Blvd
214
Torrance, CA 90505-6825

Mailing address

25550 Hawthorne Blvd
214
Torrance, CA 90505-6825
Phone (310) 303-3963

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G031705CAMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1285676056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25550 HAWTHORNE BLVD",
            "address_2": "214",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056825",
            "telephone_number": "310-303-3963",
            "fax_number": "310-303-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25550 HAWTHORNE BLVD",
            "address_2": "214",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056825",
            "telephone_number": "310-303-3963",
            "fax_number": "310-303-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURNE",
        "first_name": "HARRIET",
        "middle_name": "JANICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G031705",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G031705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.