Harris Histology Services LLC

Primary specialty

Histology Specialist/TechnologistTaxonomy code 246QH0600X

Legal business name

HARRIS HISTOLOGY SERVICES LLC

Practice address

630 S B St
Tustin, CA 92780-4318

Phone

(714) 832-4041

Fax

(714) 832-4127

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Nicolas Scott Harris

Title

Manager/Member

Phone

(714) 514-6425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Elsensohn, MD

  • MOHS-Micrographic Surgery Physician
  • Loma Linda, CA
  • NPI 1467847905
  NPD (past)
• Hadas Skupsky, M.D.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1093032658
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1831579200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804318",
            "telephone_number": "714-832-4041",
            "fax_number": "714-832-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804318",
            "telephone_number": "714-832-4041",
            "fax_number": "714-832-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HISTOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "714-514-6425"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naz Haque, DDS
• John D Harman, D.C.
• Jamie Grace Harmon, LCSW
• Vanessa Aileen Harper, MFT
• Harris Histology Services
• Nicolas Harris
• Susan Louisa Harris, M.A.
• Kristen Marie Harrison, M.S.
• Esperanza Hart
• Rebecca L Hart, DDS

• Pathology Specialist/Technologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Pathology Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.