Active NPI
Donald S Harrell, M.D.
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G51370
- Practice address
- 1500 San Pablo St
2ND Floor
Los Angeles, CA 90033-5313 - Phone
- (323) 442-8541
- Fax
- (323) 442-8755
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | G51370 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St
2ND Floor
Los Angeles, CA 90033-5313
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G513700 | Medicaid | CA | |
| 00G513700 | Other | CA | BLUE SHIELD |
| 00G513700G56 | Other | CA | CAL-OPTIMA |
| 300031906 | Other | CA | RAIL ROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51370 | CA | MD | Marriage & Family Therapist |
| G51370 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Tulare | Current | Accepting new patients | |
| Universal Radiology Partners of California PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Reedley Community Hospital | Current | Accepting new patients | |
| Hanford Community Hospital | Current | Accepting new patients | |
| Reedley Community Hospital | Current | Accepting new patients | |
| University Advance Bioimaging Associates | Past | Accepting new patients | |
| Usc Radiology Associates, Inc | Vascular & Interventional Radiology | Past | Accepting new patients |
Locations
125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital Clinic/Center
- Mammoth Lakes, CA
- NPI 1962444059
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
Vascular & Interventional Radiology
-
- Rural Health Clinic/Center
- Earlimart, CA
- NPI 1821699620
-
- Nuclear Radiology Physician
- Los Angeles, CA
- NPI 1306899695
-
- Body Imaging Physician
- Los Angeles, CA
- NPI 1225089865
Vascular & Interventional Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- Critical Access Hospital Clinic/Center
- Mammoth Lakes, CA
- NPI 1962444059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398211200000",
"number": "1962439703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-8541",
"fax_number": "323-442-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST",
"address_2": "2ND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "323-442-8541",
"fax_number": "323-442-8755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "DONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2014-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "G51370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G513700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G513700",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL-OPTIMA",
"identifier": "00G513700G56",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "300031906",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.