Active NPI
Lawrence B Harkless, DPM
- Foot & Ankle Surgery Podiatrist
- Pomona, CA
National Provider Identifier
1699882753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4746
- Practice address
- 795 E 2ND St
Suite 7
Pomona, CA 91766-2007 - Phone
- (909) 706-3877
- Fax
- (909) 706-3942
- NPI assigned
- Aug 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4746 | CA | Primary |
| Podiatrist | 213E00000X | E4746 | CA |
Addresses
Primary practice location
795 E 2ND St
Suite 7
Pomona, CA 91766-2007
Mailing address
795 E 2ND St
Suite 7
Pomona, CA 91766-2007
Phone (909) 706-3877
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR222Z | Other | CA | MEDICARE NO CA PTAN |
| AR222Y | Other | CA | MEDICARE SO CA PTAN |
| E4746 | Other | CA | STATE LICENSE |
| PO1001250 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4746 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4746 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1699882753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E 2ND ST",
"address_2": "SUITE 7",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3877",
"fax_number": "909-706-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E 2ND ST",
"address_2": "SUITE 7",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-706-3877",
"fax_number": "909-706-3942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKLESS",
"first_name": "LAWRENCE",
"middle_name": "B",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4746",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4746",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NO CA PTAN",
"identifier": "AR222Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE SO CA PTAN",
"identifier": "AR222Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E4746",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO1001250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.