Organization Active NPI

Harlan Street Healthcare Ca

  • Internal Medicine Physician
  • Wheat Ridge, CO
National Provider Identifier
1750574620
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31860 Issued in CO
Legal business name
HARLAN STREET HEALTHCARE CA
Practice address
4300 Harlan St
Wheat Ridge, CO 80033-5122
Phone
(303) 424-6019
Fax
(303) 424-5927
NPI assigned
Aug 23, 2007
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Wendy Dilorenzo
Title
Office Manager
Phone
(303) 424-6019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31860 CO Primary

Addresses

Primary practice location

4300 Harlan St
Wheat Ridge, CO 80033-5122

Mailing address

4300 Harlan St
Wheat Ridge, CO 80033-5122
Phone (303) 424-6019

National Provider Directory

National Provider Directory

Locations

4300 Harlan St
Wheat Ridge, CO 80033
Phone (303) 421-8020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1750574620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335122",
            "telephone_number": "303-424-6019",
            "fax_number": "303-424-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335122",
            "telephone_number": "303-424-6019",
            "fax_number": "303-424-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLAN STREET HEALTHCARE CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "DILORENZO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-424-6019"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "31860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.