Tim Harju, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 15600 Issued in CA

Practice address

2600 Redondo Ave
Long Beach, CA 90806-2329

Phone

(562) 988-7000

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Brea Urgent Care Incorporated

  • Urgent Care Clinic/Center
  • Brea, CA
  • NPI 1639413388
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1588620983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5692 OCEAN VISTA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926487515",
            "telephone_number": "714-960-5480",
            "fax_number": "714-960-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062329",
            "telephone_number": "562-988-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARJU",
        "first_name": "TIM",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Michelle Hardy, PSY.D., M.F.T.
• Shanice Sharee Hargrave
• Michele Erin Hargrove-Fouts, MSW,LCSW
• Erin Susan Haripotepornkul, PHARMD
• Nastaran Hariri
• Hark Hospice, Inc
• Courtney Lorea Harkless, BSN, RN
• Kristin Michele Harlocker, LCSW
• Harmony Haven Nursing Corporation
• Harmony House Residential Care LLC

• Physician Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.