Organization Active NPI

Harley R Deere a Medical Corporation

  • Neurological Surgery Physician
  • Downey, CA
National Provider Identifier
1891834636
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
HARLEY R DEERE A MEDICAL CORPORATION
Practice address
8043 2ND St
#105
Downey, CA 90241-3621
Phone
(562) 862-1134
Fax
(562) 861-9895
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Harley R. Deere Jr., M.D.
Title
President
Phone
(562) 862-1134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

8043 2ND St
#105
Downey, CA 90241-3621

Mailing address

8043 2ND St
#105
Downey, CA 90241-3621
Phone (562) 862-1134

Other identifiers 1

IdentifierTypeStateIssuer
00C241480MedicaidCA

National Provider Directory

National Provider Directory

Locations

11411 Brookshire Ave
Ste 407
Downey, CA 90241
Phone (562) 869-4421

8043 2nd St
Ste 105
Downey, CA 90241
Phone (562) 862-1134

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1891834636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8043 2ND ST",
            "address_2": "#105",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413621",
            "telephone_number": "562-862-1134",
            "fax_number": "562-861-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8043 2ND ST",
            "address_2": "#105",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413621",
            "telephone_number": "562-862-1134",
            "fax_number": "562-861-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY R DEERE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "DEERE",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-862-1134",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C241480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.