Individual provider Active NPI

John Gordon Harold, MD

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1508927005
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G046536 Issued in CA
Practice address
8635 W 3Rd Street
Suite 750W
Los Angeles, CA 90048-6108
Phone
(310) 659-2030
Fax
(310) 659-1369
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G046536 CA Primary

Addresses

Primary practice location

8635 W 3Rd Street
Suite 750W
Los Angeles, CA 90048-6108

Mailing address

8635 W 3Rd Street
Suite 750W
Los Angeles, CA 90048-6018
Phone (310) 659-2030

Other identifiers 1

IdentifierTypeStateIssuer
6183617MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100610000766 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426135187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.42 of 100Reported as group
Quality
72.97
Promoting interoperability
100
Improvement activities
40
Cost
53.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G046536CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jay N Schapira M D Inc a Professional Corporation Cardiovascular Disease CurrentSince Dec 4, 1991 Accepting new patients
Olga Voroshilovsky, M.D. a Professional Corporation Cardiovascular Disease Past Accepting new patients

Locations

8635 W 3rd St
Ste 750W
West Hollywood, CA 90048
Phone (310) 659-2030

8635 W 3rd St
Ste 750
West Hollywood, CA 90048

Interoperability endpoints

  • Direct secure messaging: jharold102890@direct.cshs.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1508927005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD STREET",
            "address_2": "SUITE 750W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486018",
            "telephone_number": "310-659-2030",
            "fax_number": "310-659-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD STREET",
            "address_2": "SUITE 750W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486108",
            "telephone_number": "310-659-2030",
            "fax_number": "310-659-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAROLD",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G046536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6183617",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.