James Alvin Harrison, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A43499 Issued in CA

Practice address

24318 Hemlock Ave
Suite # E1
Moreno Valley, CA 92557-7222

Phone

(951) 243-5050

Fax

(951) 243-5586

NPI assigned

Jul 27, 2006

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Medical College of Wisconsin, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGEJDD/Endpoint/DGEJDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moreno Valley Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1144273194
  Medicare reassignment Authorized official
• Moreno Valley Urgent Care Clinic, Inc

  • Urgent Care Clinic/Center
  • Riverside, CA
  • NPI 1215365754
  Authorized official Same address or phone

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1487678827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "address_2": "SUITE # E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222",
            "telephone_number": "951-243-5050",
            "fax_number": "951-243-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 HEMLOCK AVE",
            "address_2": "SUITE # E1",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577222",
            "telephone_number": "951-243-5050",
            "fax_number": "951-243-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JAMES",
        "middle_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A43499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hasan Harris, DDS
• Krista Marie Harris, PA-C
• Kurt Harris, PA-C
• Nikkole Harris
• Talesha Harris, RN
• Kenneth Thomas Harrison, D.D.S
• Spring Harrison
• Gail Montee Harriss, BA,BS
• Harry Karna D.D.S., a Professional Corporation
• Nicholas Allan Harryman, DO

• Primary Care Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.