Active NPI
Harris Wasser, MD
- Internal Medicine Physician
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A 37142
- Practice address
- 2950 N Sycamore Dr #200
Simi Valley, CA 93065 - Phone
- (805) 522-4004
- Fax
- (805) 583-3709
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A 37142 | CA | Primary |
Addresses
Primary practice location
2950 N Sycamore Dr #200
Simi Valley, CA 93065
Mailing address
PO Box 420
Simi Valley, CA 93062
Phone (805) 376-2649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A371421 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1610 E Thousand Oaks Blvd
Suite G
Thousand Oaks, CA 91362-2974
Phone (805) 370-0000
215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 997-2727
2950 N Sycamore Dr
Suite 200
Simi Valley, CA 93065-1210
2950 Sycamore Dr
Simi Valley, CA 93065-1210
Phone (805) 522-4004
Hospital & facility affiliations
- Access TLC Hospice
- Los Robles Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 37142 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Wasser MD Inc | Current | Accepting new patients | |
| Jonathan Nasseri MD Corp | Internal Medicine | Current | Accepting new patients |
Locations
2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500
1534 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 497-1800
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
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.
-
- Internal Medicine Physician
- Simi Valley, CA
- NPI 1194063529
-
- Endocrinology, Diabetes & Metabolism Physician
- Simi Valley, CA
- NPI 1154804557
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Moorpark, CA
- NPI 1518949874
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609915768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 420",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "93062",
"telephone_number": "805-376-2649",
"fax_number": "805-376-2649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N SYCAMORE DR #200",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "93065",
"telephone_number": "805-522-4004",
"fax_number": "805-583-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSER",
"first_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A 37142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A371421",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.