Active NPI
Juanita L. Harb, PH.D.
- Other Technician
- Roseville, CA
National Provider Identifier
1487771259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 2436 Professional Drive, Suite 400
Roseville, CA 95661 - Phone
- (916) 225-6311
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
2436 Professional Drive, Suite 400
Roseville, CA 95661
Mailing address
2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 17, 2023 through May 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1487771259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171418",
"telephone_number": "916-734-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2436 PROFESSIONAL DRIVE, SUITE 400",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661",
"telephone_number": "916-225-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARB",
"first_name": "JUANITA",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Hansra Optometric Corporation (VSP Visionworks Doctors of Optometry)
- Sharon Anne Hapak
- Saliha Haq, OD
- Danielle Harake, M.D.
- Nima Kevin Harandi, MD
- Hardeep K Sidhu DDS a Professional Dental Corporation (Smile & Shine Dental Practice of Dr. Sidhu)
- Taylor Harder, MS
- Jack Leland Hardesty Jr., PHARMD
- Kristine Hardey, M.A LMFT
- Alfonsus P Hardosubroto
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.