Active NPI
Harley R Deere a Medical Corporation
- Neurological Surgery Physician
- Downey, CA
National Provider Identifier
1891834636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C241480 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.