Active NPI
Harihar P. Agarwal, MD Inc
- Internal Medicine Physician
- Lancaster, CA
National Provider Identifier
1528083383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G462460
- Legal business name
- HARIHAR P. AGARWAL, MD INC
- Practice address
- 1363 W Avenue J
Lancaster, CA 93534-2935 - Phone
- (661) 726-5000
- Fax
- (661) 726-4347
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hari P. Agarwal, M.D.
- Title
- President
- Phone
- (661) 726-5000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G462460 | CA | |
| Internal Medicine Physician | 207R00000X | G462460 | CA | Primary |
| Pediatrics Physician | 208000000X | A455310 | CA |
Addresses
Primary practice location
1363 W Avenue J
Lancaster, CA 93534-2935
Mailing address
1359 W Avenue J
Lancaster, CA 93534-2935
Phone (661) 726-5000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110132636 | Other | CA | RR MCARE DR CHHAYA INDIV |
| 00G462460 | Medicaid | CA | |
| CD2403 | Other | CA | RR MEDICARE GROUP # |
| 05D0725255 | Other | CA | CLIA |
| G462460 | Other | CA | MEDICAL LICENSE DR HARI |
| GR0079280 | Medicaid | CA | |
| ZZZ64543Z | Other | CA | BLUE SHIELD GROUP ID# |
| 110132635 | Other | CA | RR MCARE DR HARI INDIVIDU |
| A455310 | Other | CA | MEDICAL LICENSE DR CHHAYA |
Other names 1
- Valley Infant Pediatric & Complete Family Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050413000575 | CA | Part B Supplier - Clinic/Group Practice | 0446297238 |
Receives reassigned benefits from 1 practitioner Practice locations: Palmdale, CA |
National Provider Directory
National Provider DirectoryLocations
1363 W Avenue J
Lancaster, CA 93534
Phone (661) 726-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lancaster, CA
- NPI 1215964150
CA, Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1528083383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1359 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342935",
"telephone_number": "661-726-5000",
"fax_number": "661-726-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 W AVENUE J",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935342935",
"telephone_number": "661-726-5000",
"fax_number": "661-726-4347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARIHAR P. AGARWAL, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "HARI",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-726-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G462460",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G462460",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A455310",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE DR CHHAYA INDIV",
"identifier": "110132636",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G462460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP #",
"identifier": "CD2403",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0725255",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE DR HARI",
"identifier": "G462460",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0079280",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP ID#",
"identifier": "ZZZ64543Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE DR HARI INDIVIDU",
"identifier": "110132635",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE DR CHHAYA",
"identifier": "A455310",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Infant Pediatric & Complete Family Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Infant Pediatric & Complete Family Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.