Individual provider Active NPI

Rex Dell Harner, M.D.

  • Family Medicine Physician
  • Rohnert Park, CA
National Provider Identifier
1528066321
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G29415 Issued in CA
Practice address
5300 Snyder LN
Ste a
Rohnert Park, CA 94928-2915
Phone
(707) 585-8347
Fax
(707) 585-8056
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G29415 CA Primary

Addresses

Primary practice location

5300 Snyder LN
Ste a
Rohnert Park, CA 94928-2915

Mailing address

3883 Airway Dr
Santa Rosa, CA 95403-1670
Phone (707) 521-8809

Other identifiers 3

IdentifierTypeStateIssuer
080070430OtherCARAILROAD MEDICARE
00G294150OtherCABLUE SHIELD OF CALIFORNIA
00G294150MedicaidCA

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
I20070604000770 CA Practitioner - Family Practice 7618075342

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 254869
Sacramento, CA 95865-4869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G29415CAMDFamily Medicine Physician
29415CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients

Locations

5300 Snyder Ln
Ste A
Rohnert Park, CA 94928
Phone (707) 585-8347

6000 State Farm Dr
Ste 150
Rohnert Park, CA 94928
Phone (707) 559-7600

3883 Airway Dr
Ste 30
Santa Rosa, CA 95403
Phone (707) 585-8347

3883 Airway Dr
Ste 300
Santa Rosa, CA 95403
Phone (707) 521-8809

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

3883 Airway Dr
Santa Rosa, CA 95403
Phone (415) 751-1817

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

Interoperability endpoints

  • Direct secure messaging: rharner31218@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1528066321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-521-8809",
            "fax_number": "707-521-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SNYDER LN",
            "address_2": "STE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282915",
            "telephone_number": "707-585-8347",
            "fax_number": "707-585-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNER",
        "first_name": "REX",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G29415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080070430",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00G294150",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G294150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

Verify at the official NPI Registry.