Active NPI
Harvey Marle Presser, M.D.
- Psychiatry Physician
- Northridge, CA
National Provider Identifier
1467541284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A28716
- Practice address
- 17339 Ballinger St
Northridge, CA 91325-2004 - Phone
- (818) 993-9949
- Fax
- (818) 993-0293
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A28716 | CA | Primary |
Addresses
Primary practice location
17339 Ballinger St
Northridge, CA 91325-2004
Mailing address
6708 Foothill Blvd
Suite 203
Tujunga, CA 91042-2743
Phone (818) 352-1464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A287160 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467541284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6708 FOOTHILL BLVD",
"address_2": "SUITE 203",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910422743",
"telephone_number": "818-352-1464",
"fax_number": "818-993-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17339 BALLINGER ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913252004",
"telephone_number": "818-993-9949",
"fax_number": "818-993-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESSER",
"first_name": "HARVEY",
"middle_name": "MARLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A28716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A287160",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
- Prakob Bruce Vassantachart MD a Professional Corporation
- Precious Home Healthcare Agency Inc
- Precision Chiropractic Clinic
- David Leon Preller, RPH
- Premier Home Health Care, Inc.
- Thunyathorn Prettapapop
- Rochelle Price
- Prime Care Associates a Medical Corporation
- Prime Healthcare ASC - Northridge LLC
- Lesley C Prince, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.