Individual provider Active NPI

Harjasleen K Walia, M.D.

  • Neurology Physician
  • San Jose, CA
National Provider Identifier
1356786495
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A158682 Issued in CA
Practice address
2440 Samaritan Dr Ste 2
San Jose, CA 95124-3911
Phone
(408) 706-5500
Fax
(408) 540-7361
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A158682 CA Primary

Addresses

Primary practice location

2440 Samaritan Dr Ste 2
San Jose, CA 95124-3911

Mailing address

2440 Samaritan Dr Ste 2
San Jose, CA 95124-3911
Phone (408) 706-5500

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
I20200326003580 CA Practitioner - Neurology 9739518796 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2440 Samaritan Dr
Suite 2
San Jose, CA 95124-3911
Phone (408) 706-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158682CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H Walia MD PC Neurology Current Accepting new patients
Walia & Walia Neurology CurrentSince Mar 24, 2021 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

2440 Samaritan Dr
Ste 2
San Jose, CA 95124
Phone (408) 706-5500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: waliaandwalia.harjasleenwalia@149501.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1356786495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-706-5500",
            "fax_number": "408-540-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-706-5500",
            "fax_number": "408-540-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALIA",
        "first_name": "HARJASLEEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2022-04-24",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A158682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.