Individual provider Active NPI

Christina Marie Harsh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seal Beach, CA
National Provider Identifier
1972209799
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024112 Issued in CA
Practice address
12400 Montecito Rd Apt 307
Seal Beach, CA 90740-2735
Phone
(714) 393-2442
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024112 CA Primary

Addresses

Primary practice location

12400 Montecito Rd Apt 307
Seal Beach, CA 90740-2735

Mailing address

12400 Montecito Rd Apt 307
Seal Beach, CA 90740-2735

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251118001480 CA Practitioner - Nurse Practitioner 9537650502 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Los Angeles, CA 90059
Phone (424) 338-8000

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024112CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 6, 2026 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 6, 2026 Accepting new patients
Telemedicine Urgent Care Inc PastSince Jun 1, 2025 Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Bldg 11
Los Angeles, CA 90059
Phone (424) 338-8000

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1972209799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 MONTECITO RD APT 307",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 MONTECITO RD APT 307",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402735",
            "telephone_number": "714-393-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.