Active NPI
Johnny Harrison, M.D., Inc.
- Anesthesiology Physician
- Northridge, CA
National Provider Identifier
1417918533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A32912
- Legal business name
- JOHNNY HARRISON, M.D., INC.
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325-4105 - Phone
- (818) 885-8500
- Fax
- (818) 715-1722
- NPI assigned
- Mar 29, 2006
- Last updated
- Jan 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Johnny Harrison, M.D.
- Title
- Direct Owner
- Phone
- (818) 888-7815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A32912 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A32912 | CA |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Northridge, CA
- NPI 1811962699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231200000000",
"number": "1417918533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "818-885-8500",
"fax_number": "818-715-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNNY HARRISON, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2009-01-06",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "JOHNNY",
"authorized_official_title_or_position": "DIRECT OWNER",
"authorized_official_telephone_number": "818-888-7815",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A32912",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A32912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.