Individual provider Active NPI

James A Hartleroad, M.D.

  • Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1336189067
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G74901 Issued in CA
Practice address
16000 Apple Valley Rd Ste C3
Apple Valley, CA 92307-7815
Phone
(760) 242-8900
Fax
(760) 242-8994
NPI assigned
Jun 8, 2006
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G74901 CA Primary
General Practice Physician 208D00000X G74901 CA

Addresses

Primary practice location

16000 Apple Valley Rd Ste C3
Apple Valley, CA 92307-7815

Mailing address

16000 Apple Valley Rd Ste C3
Apple Valley, CA 92307-7815
Phone (760) 242-8900

Other practice location 1

4863 Yale St
Montclair, CA 91763-2242
Phone (626) 390-9456

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
I20060217000696 CA Practitioner - General SurgeryPractitioner - Thoracic Surgery 2668487240 Reassigns benefits to 1 organization
Practice locations: Rancho Cucamonga, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery
Education
Yale University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy CT Surgery PartnershipGroup PAC ID 5698939957, 19 clinicians

Practice addresses (Care Compare)

901 San Bernardino Rd
Suite 102
Upland, CA 91786-4988
Phone (909) 579-6721

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy CT Surgery Partnership CurrentSince Nov 29, 2016 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Genesis OBGYN Medical Group Inc. Past Accepting new patients
Woodman Medical Care and Clinic Surgery PastSince Jan 1, 2005 Accepting new patients
California Center for Cardiothoracic Surgery Past Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order Past Accepting new patients
California Center for Cardiothoracic Surgery, a Medical Group Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Alan E. Malki, M.D. a Professional Corporation Past Accepting new patients

Locations

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4500 Brockton Ave
Ste 317
Riverside, CA 92501
Phone (951) 367-0860

31537 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (909) 579-6721

31573 Rancho Pueblo Rd
Temecula, CA 92592

31573 Rancho Pueblo Rd
Ste 210
Temecula, CA 92592
Phone (508) 979-0407

901 San Bernardino Rd
Ste 102
Upland, CA 91786
Phone (909) 579-6721

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1336189067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 APPLE VALLEY RD STE C3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923077815",
            "telephone_number": "760-242-8900",
            "fax_number": "760-242-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 APPLE VALLEY RD STE C3",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923077815",
            "telephone_number": "760-242-8900",
            "fax_number": "760-242-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4863 Yale St",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632242",
            "country_code": "US",
            "telephone_number": "626-390-9456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEROAD",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G74901",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G74901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.