Individual provider Active NPI

Rob Harriz, MD

  • Pediatrics Physician
  • Stockton, CA
National Provider Identifier
1326544248
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A174261 Issued in CA
Practice address
1801 E March LN
Stockton, CA 95210-6629
Phone
(209) 507-7000
NPI assigned
Mar 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.141849 OH
Pediatrics Physician 208000000X A174261 CA Primary

Addresses

Primary practice location

1801 E March LN
Stockton, CA 95210-6629

Mailing address

700 N Columbus St
Crestline, OH 44827-1455
Phone (419) 468-0522

Other practice location 1

270 Portland Way S
Galion, OH 44833-2362
Phone (419) 462-3863

Other identifiers 1

IdentifierTypeStateIssuer
0449797MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715002969 OH Practitioner - Pediatric Medicine 8022410885
I20230227001237 CA Practitioner - Pediatric Medicine 8022410885 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A174261CAMDPediatrics Physician
35.141849OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Community Medical Centers Inc CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 22, 2022 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Dec 22, 2022 Accepting new patients

Locations

1801 E March Ln
Ste D470
Stockton, CA 95210
Phone (209) 507-7000

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rob.harriz.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: rharriz768243@direct.ochin.org
  • Direct secure messaging: rharriz707684@hisp.ehr.sutterhealth.org

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1326544248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLUMBUS ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271455",
            "telephone_number": "419-468-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-507-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332362",
            "country_code": "US",
            "telephone_number": "419-462-3863",
            "fax_number": "419-462-3861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIZ",
        "first_name": "ROB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.141849",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A174261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449797",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.