William G Harris, MD
Individual provider Active NPI Allergy & Immunology Physician · Orange, CA
NPI 1922065788 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1922065788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- G64493 (CA)
- Practice address
- 1140 W la Veta Ave Ste 850
Orange, CA 92868-4218 - Phone
- (714) 771-7994
- Fax
- (714) 744-4167
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Allergy/Immunology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allergy Partners of California Inc
Practice addresses (Care Compare)
4050 Barranca Pkwy
Suite 110
Irvine, CA 92604-1725
Phone (714) 771-7994
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040421000651 | CA | Practitioner - Allergy/Immunology | 6103812771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64493 | CA | MD | Allergy & Immunology Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners of California, Inc. | Allergy & Immunology | Current | Accepting new patients |
| Allergy Partners of California, Inc. | Allergy & Immunology | Current |
Accepting new patients |
| John D Amar MD Inc | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| St. Mary Medical Center | Past | Accepting new patients | |
| South Coast Allergy & Asthma Medical Corporation. | Allergy & Immunology | Past |
Accepting new patients |
Locations
1440 N Harbor Blvd
Ste 708
Fullerton, CA 92835
Phone (714) 451-0801
4050 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (714) 771-7994
505 S Main St
Ste 250
Orange, CA 92868
Phone (714) 771-7994
1140 W La Veta Ave
Ste 850
Orange, CA 92868
Phone (714) 560-4450
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G64493 | CA | Yes |
Addresses
Primary practice location
1140 W la Veta Ave Ste 850
Orange, CA 92868-4218
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB221252 | Other | CA | MEDICARE PTAN |
| 00G64493 | Medicaid | CA |
Other providers in Orange, CA
- Lesley Harris
- Michelle Simone Harris
- Rodney Alexander Harris
- Saniah M Harris
- Terri Lea Harris
- Yasmyn Harris
- Lawrence V Harrison
- Matty Judith Harrison
- Timothy Andrew Harrison
- Sarah Nicole Harrod
All providers in Orange, CA · Allergy & Immunology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.