Active NPI
David C. Harris, M.D.
- Anesthesiology Physician
- Ventura, CA
National Provider Identifier
1619022167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G57789
- Practice address
- 147 N Brent St
Ventura, CA 93003-2809 - Phone
- (805) 659-1166
- NPI assigned
- Jan 24, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G57789 | CA | Primary |
Addresses
Primary practice location
147 N Brent St
Ventura, CA 93003-2809
Mailing address
11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5131
Phone (310) 471-5852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G577890 | Medicaid | CA | |
| GR0064530 | 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
- Anesthesiology
- Education
- University of California, Irvine, California College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 N Brent St
Ventura, CA 93003-2809
Phone (805) 652-5011
Hospital & facility affiliations
- Community Memorial Hospital - Ventura
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.94 of 100
- Quality
- 38.91
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57789 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| G57789 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ventura Anesthesia Medical Group | Anesthesiology | Current | Accepting new patients |
Locations
11999 San Vicente Blvd
Ste 440
Los Angeles, CA 90049
3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234
2230 Lynn Rd
Ste 106
Thousand Oaks, CA 91360
Phone (805) 370-3137
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
2900 Townsgate Rd
Ste 201
Westlake Vlg, CA 91361
Phone (805) 496-6789
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Ventura, CA
- NPI 1164465159
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1619022167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 SAN VICENTE BLVD",
"address_2": "#440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495131",
"telephone_number": "310-471-5852",
"fax_number": "310-471-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 N BRENT ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032809",
"telephone_number": "805-659-1166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DAVID",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G57789",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G577890",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0064530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.