Individual provider Active NPI

Harold E Hand, M.D.

  • Ophthalmology Physician
  • Stockton, CA
National Provider Identifier
1891703229
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C289630 Issued in CA
Practice address
1801 E March LN C350
Stockton, CA 95210-6674
Phone
(209) 474-2121
Fax
(209) 474-1181
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C289630 CA Primary

Addresses

Primary practice location

1801 E March LN C350
Stockton, CA 95210-6674

Mailing address

255 E Weber Ave
Stockton, CA 95202-2706
Phone (209) 466-5566

Other identifiers 1

IdentifierTypeStateIssuer
00C289630MedicaidCA

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

LicenseStateTypeSpecialty
C289630CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California'S Advanced Institute of Vision Medical Group, Inc Ophthalmology PastSince Mar 24, 2005 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1891703229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E WEBER AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022706",
            "telephone_number": "209-466-5566",
            "fax_number": "209-466-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN C350",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106674",
            "telephone_number": "209-474-2121",
            "fax_number": "209-474-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "HAROLD",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C289630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C289630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.