Active NPI
Rex Dell Harner, M.D.
- Family Medicine Physician
- Rohnert Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G29415
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080070430 | Other | CA | RAILROAD MEDICARE |
| 00G294150 | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 00G294150 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G29415 | CA | MD | Family Medicine Physician |
| 29415 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.