Individual provider Active NPI

Harris Wasser, MD

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1609915768
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 37142 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A371421MedicaidCA

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
I20110204000046 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 7315127685 Reassigns benefits to 1 organization
Practice locations: Simi Valley, CA; Thousand Oaks, CA

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 Hospice, Moorpark, CA, CCN 051663
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 37142CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Wasser MD Inc Current Accepting new patients
Jonathan Nasseri MD Corp Internal Medicine CurrentSince Dec 1, 2017 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.