DR. GARY L. HARKINS (NPI# 1942204375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942204375 |
| Entity Type | Individual |
| Full Name | DR. GARY L. HARKINS |
| Credential | M.D. |
| Practice Address |
1941 Johnson Ave Ste 201 San Luis Obispo CA 93401-4169 |
| Practice Telephone | 8055435577 |
| Practice Fax Number | 8055953231 |
| Mailing Telephone | 8055435577 |
| Mailing Fax Number | 8055953231 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G25721 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE PIN | CJ5643 | 01 | |
| CA | CMSP GRP PIN | 1018 | 01 |
| FIRST HEALTH PIN | 2257346 | 01 | |
| CA | GR0091140 | 05 | |
| CA | 00G257210 | 05 | |
| CA | MEDICAL LICENSE # | G25721 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679718274 | Gary Randall Harkins | Physical Therapist | 1268 E 32nd St, Silver City, NM 88061-7229 | 2008-12-10 |
| Street Address |
1941 JOHNSON AVE STE 201 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689024259 | Pacific Central Coast Health Centers | Clinic/Center | 1941 Johnson Ave, Suite 105b, San Luis Obispo, CA 93401-4140 | 2016-06-15 |
| 1760896104 | Pacific Central Coast Health Centers | Clinic/Center | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4140 | 2014-06-13 |
| 1033544341 | Danae M Wilke | Physician Assistant | 1941 Johnson Ave, 101, San Luis Obispo, CA 93401-4140 | 2013-09-05 |
| 1316229289 | Pacific Central Coast Health Centers | Clinic/Center | 1941 Johnson Ave, Suite 301, San Luis Obispo, CA 93401-4140 | 2011-09-15 |
| 1679750574 | Armin J Bandari | Internal Medicine | 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 | 2008-01-23 |
| 1215138789 | Andrea Hardison Tackett | Internal Medicine | 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 | 2007-05-30 |
| 1689792327 | Christopher Paul Porterfield | Internal Medicine | 1941 Johnson Ave, Ste 101, San Luis Obispo, CA 93401-4154 | 2007-03-27 |
| 1699821959 | Lisa Michelle Winick | Advanced Practice Midwife | 1941 Johnson Ave, Suite 202, San Luis Obispo, CA 93401-4140 | 2007-01-26 |
| 1952496556 | Richard S Marks | Physician Assistant | 1941 Johnson Ave, San Luis Obispo, CA 93401-4140 | 2006-10-03 |
| 1043229263 | Creating Harmony Women's Healthcare Inc | Nurse Practitioner | 1941 Johnson Ave, Suite #202, San Luis Obispo, CA 93401-4140 | 2006-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982728796 | Brian Anthony Dicarlo | Internal Medicine | 892 Aerovista Pl Ste 240, San Luis Obispo, CA 93401-8054 | 2007-03-19 |
| 1528080967 | Kathleen April Kennedy | Internal Medicine | 892 Aerovista Pl Ste 130, San Luis Obispo, CA 93401-8054 | 2006-07-24 |
| 1124068515 | Gorgun Akpek | Internal Medicine | 715 Tank Farm Rd Ste C, San Luis Obispo, CA 93401 | 2006-06-07 |
| 1750385183 | Oncology Hematology Medical Associates of The Central Coast | Internal Medicine | 715 Tank Farm Road, San Luis Obispo, CA 93401-4140 | 2005-06-13 |
| 1902249469 | Erin Chamberlain | Internal Medicine | 892 Aerovista Pl Ste 240, San Luis Obispo, CA 93401-8054 | 2013-04-15 |
| 1063775104 | James Link | Internal Medicine | 715 Tank Farm Rd Ste C, San Luis Obispo, CA 93401-7068 | 2012-06-22 |
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| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.