Active NPI
Roderick Edward Harris, M.D.
- Urology Physician
- Merced, CA
National Provider Identifier
1801089727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- C39701
- Practice address
- 315 Mercy Ave Ste 400
Merced, CA 95340-8368 - Phone
- (209) 564-3700
- Fax
- (209) 564-3799
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | C39701 | CA | Primary |
Addresses
Primary practice location
315 Mercy Ave Ste 400
Merced, CA 95340-8368
Mailing address
3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39701 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1801089727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MERCY AVE STE 400",
"city": "MERCED",
"state": "CA",
"postal_code": "953408368",
"telephone_number": "209-564-3700",
"fax_number": "209-564-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "RODERICK",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "C39701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.