Active NPI
TW Hard MD and Associates
- Basic Emergency Medical Technician
- Stockton, CA
National Provider Identifier
1932273604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- C31017
- Legal business name
- TW HARD MD AND ASSOCIATES
- Doing business as
- The Orion Medical Group
- Practice address
- 3116 W March LN
Ste 200
Stockton, CA 95219-2369 - Phone
- (209) 473-6555
- Fax
- (209) 473-6543
- NPI assigned
- Nov 17, 2006
- 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
- Edward 'Ted' W Hard, M.D.
- Title
- Ceo
- Phone
- (707) 523-7222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | C31017 | CA | Primary |
Addresses
Primary practice location
3116 W March LN
Ste 200
Stockton, CA 95219-2369
Mailing address
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 523-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0078340 | Medicaid | CA |
Other names 1
- The Orion Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1932273604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-523-7222",
"fax_number": "707-578-6840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3116 W MARCH LN",
"address_2": "STE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192369",
"telephone_number": "209-473-6555",
"fax_number": "209-473-6543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TW HARD MD AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "HARD",
"authorized_official_first_name": "EDWARD 'TED'",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-523-7222",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "CA",
"license": "C31017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0078340",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Orion Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.