Organization Active NPI

David C. Harris, M.D., Inc.

  • Anesthesiology Physician
  • Stockton, CA
National Provider Identifier
1962557405
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G57789 Issued in CA
Legal business name
DAVID C. HARRIS, M.D., INC.
Practice address
3116 W March LN Ste 200
Stockton, CA 95219-2370
Phone
(209) 473-6555
Fax
(209) 473-6544
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Authorized official

Name
Dr. David C. Harris, M.D.
Title
Owner
Phone
(805) 659-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G57789 CA Primary

Addresses

Primary practice location

3116 W March LN Ste 200
Stockton, CA 95219-2370

Mailing address

3116 W March LN Ste 200
Stockton, CA 95219-2370
Phone (209) 473-6555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1962557405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192370",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192370",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. HARRIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-659-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G57789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.