Amy Harrison, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G175785 Issued in CA

Practice address

2390 E Florida Ave Ste 104
Hemet, CA 92544-4711

Phone

(951) 414-4011

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Medical College of Pennsylvania, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seven Star Medical Group, Inc.Group PAC ID 4789091026, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: aharrison104620@direct.luhs.org

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.

• Seven Star Medical Group Inc.

  dba Seven Star Nephrology

  • Nephrology Physician
  • Hemet, CA
  • NPI 1710580808
  Medicare reassignment Care Compare group NPD
• Seven Star Medical Group Inc.

  dba Seven Star OB/GYN

  • Obstetrics & Gynecology Physician
  • Hemet, CA
  • NPI 1093318172
  NPD
• Seven Star Medical Group Inc.

  dba Seven Star Family Care

  • Family Medicine Physician
  • Hemet, CA
  • NPI 1346843422
  NPD
• Seven Star Medical Group Inc.

  dba Seven Star Mathias & Associates

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1427651462
  NPD
• Loyola University Medical Center

  dba Foster G. McGaw Hospital

  • General Acute Care Hospital
  • Maywood, IL
  • NPI 1376521575
  NPD
• Apex Healthcare Medical Center Inc

  dba Apex Hematology-Oncology

  • Hematology & Oncology Physician
  • Hemet, CA
  • NPI 1124453055
  NPD (past)
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• Hemet Valley Medical Center

  • General Acute Care Hospital
  • Hemet, CA
  • NPI 1508939349
  NPD (past)
• Loyola University Medical Center

  dba Mulcahy Pharmacy

  • Community/Retail Pharmacy
  • Maywood, IL
  • NPI 1184789299
  NPD (past)
• Loyola University Medical Center

  • General Practice Physician
  • Maywood, IL
  • NPI 1336159961
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1962436782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41889 E. FLORIDA AVE.",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92544",
            "telephone_number": "951-652-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 E FLORIDA AVE STE 104",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925444711",
            "telephone_number": "951-414-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 E Latham Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434423",
            "country_code": "US",
            "telephone_number": "951-929-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 N State St Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925836574",
            "country_code": "US",
            "telephone_number": "951-487-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "AMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-103486",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G175785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103486",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G175785",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karissa Consuelo Harrill
• Clara Harris
• Katherine Harris, DPT
• Terra Renee Harris
• Vanessa M Harris
• Andrew Marc Harrison, MD, PHD
• Brian Harrison
• Hart and Lee Dental Corporation (Hemet Modern Dentistry Dental Group)
• Hart Family Dental
• Afm N Hasan

• Family Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.