Individual provider Active NPI

Timothy Harward, M.D.

  • Vascular Surgery Physician
  • Orange, CA
National Provider Identifier
1982605986
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G46797 Issued in CA
Practice address
1140 W la Veta Ave
Ste. 850
Orange, CA 92868-4225
Phone
(714) 560-4450
Fax
(714) 560-4455
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G46797 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave
Ste. 850
Orange, CA 92868-4225

Mailing address

1140 W la Veta Ave Ste 850
Orange, CA 92868-4218
Phone (714) 560-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210106002580 IN Practitioner - Vascular Surgery 2062325715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46797CAMDVascular Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1982605986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684218",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE",
            "address_2": "STE. 850",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684225",
            "telephone_number": "714-560-4450",
            "fax_number": "714-560-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWARD",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G46797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.