Individual provider Active NPI

Eugene - Hardin, M.D.

  • Internal Medicine Physician
  • Carson, CA
National Provider Identifier
1366479123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A32643 Issued in CA
Practice address
357 E Carson St
102
Carson, CA 90745-2745
Phone
(310) 518-2737
Fax
(310) 518-2060
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A32643 CA Primary

Addresses

Primary practice location

357 E Carson St
102
Carson, CA 90745-2745

Mailing address

357 E Carson St
102
Carson, CA 90745-2745
Phone (310) 518-2737

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
I20061102000455 CA Practitioner - Internal MedicinePractitioner - Emergency Medicine 0840297933 Practice locations: Carson, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

357 E Carson St
Suite 102
Carson, CA 90745-2766
Phone (310) 518-2737

Hospital & facility affiliations

  • Silver Lining Home Healthcare Services Home health agency, Torrance, CA, CCN 559149
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Harbor Post Acute Care Center Nursing home, Torrance, CA, CCN 056192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32643CAMDDentist
A32643CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center Past Accepting new patients
GN Medical Associates, Inc. PastSince Apr 1, 2007 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
University of California Irvine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366479123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 E CARSON ST",
            "address_2": "102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452745",
            "telephone_number": "310-518-2737",
            "fax_number": "310-518-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 E CARSON ST",
            "address_2": "102",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452745",
            "telephone_number": "310-518-2737",
            "fax_number": "310-518-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "EUGENE",
        "middle_name": "-",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A32643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.