Individual provider Active NPI

Brian W. Harris, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1285687574
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G70720 Issued in CA
Practice address
1225 Wilshire Boulevard
Los Angeles, CA 90017-2395
Phone
(213) 977-2423
Fax
(213) 202-7028
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 G70720 CA Primary

Addresses

Primary practice location

1225 Wilshire Boulevard
Los Angeles, CA 90017-2395

Mailing address

2550 North Hollywood Way
Suite 209
Burbank, CA 91505-5019
Phone (818) 557-0135

Other identifiers 6

IdentifierTypeStateIssuer
050471CE98412OtherCAGOOD SAM TRAILBLAZER
00G707200MedicaidCA
00G707200OtherCACALOPTIMA
00G707200OtherCABLUE SHIELD
050618CE98412OtherCABEAR VALLEY TRAILBLAZER
G70720OtherCABLUE CROSS

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
I20040219000532 CA Practitioner - Emergency Medicine 3577458314 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC CurrentSince Jan 17, 2015 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Glenn Medical Center, LLC CurrentSince Jan 17, 2015 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine Current Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

1133 W Sycamore St
Willows, CA 95988
Phone (530) 934-1800

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285687574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NORTH HOLLYWOOD WAY",
            "address_2": "SUITE 209",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055019",
            "telephone_number": "818-557-0135",
            "fax_number": "818-557-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WILSHIRE BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900172395",
            "telephone_number": "213-977-2423",
            "fax_number": "213-202-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G70720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOOD SAM TRAILBLAZER",
            "identifier": "050471CE98412",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G707200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA",
            "identifier": "00G707200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G707200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEAR VALLEY TRAILBLAZER",
            "identifier": "050618CE98412",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G70720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.