Active NPI
David C. Harris, M.D., Inc.
- Anesthesiology Physician
- Stockton, CA
National Provider Identifier
1962557405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G57789
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryNPI 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.