Individual provider Active NPI

Amylou Grace Harms, NP-C

  • Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1932571759
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95002418 Issued in CA
Practice address
1211 W la Palma Ave Ste 207
Anaheim, CA 92801
Phone
(714) 772-8282
NPI assigned
Oct 21, 2015
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95002418 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 207
Anaheim, CA 92801

Mailing address

1211 W la Palma Ave Ste 207
Anaheim, CA 92801-2810
Phone (714) 772-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95002418CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Health Clinics CurrentSince Sep 28, 2023 Accepting new patients
MD-HC, Inc Past Accepting new patients

Locations

1000 Quail St
Ste 160
Newport Beach, CA 92660
Phone (877) 788-6342

2549 Eastbluff Dr
Ste A
Newport Beach, CA 92660

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1932571759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012810",
            "telephone_number": "714-772-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-772-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMS",
        "first_name": "AMYLOU GRACE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95002418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.