NPIMap

Organization Active NPI

Hiawatha Harris, M.D., Inc.

  • Counselor
  • Oakland, CA
National Provider Identifier
1487074845
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HIAWATHA HARRIS, M.D., INC.
Practice address
1700 Broadway
Suite-500
Oakland, CA 94612-2141
Phone
(510) 273-4200
NPI assigned
Apr 23, 2014
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Cedric Hurskin
Title
C.O.O
Phone
(925) 520-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1700 Broadway
Suite-500
Oakland, CA 94612-2141

Mailing address

5674 Stoneridge Dr
Suite-207
Pleasanton, CA 94588-8500
Phone (925) 520-0005

National Provider Directory

National Provider Directory
Tax ID family
Hiawatha Harris MD Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1487074845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR",
            "address_2": "SUITE-207",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888500",
            "telephone_number": "925-520-0005",
            "fax_number": "925-520-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY",
            "address_2": "SUITE-500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122141",
            "telephone_number": "510-273-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA HARRIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "HURSKIN",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "925-520-0005"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.