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Deactivated NPI 1871576249 Deactivated / Inactive NPI Male Practitioner

Dr. W Edward Harriss , MD

Pediatrics • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. W Harriss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2005
NPI Deactivation Date July 17, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. W Harriss, MD was a registered Pediatrics practicing in Riverside, CA. Throughout an active medical career spanning 19 years, Dr. Harriss provided care at the practice location at 7117 BROCKTON AVE until profile deactivation on 2024-07-17.

Practice Location & Contact Primary Location

Practice Address

7117 Brockton Ave

Riverside, CA 925062615

Telephone 9517823683
Fax 9517843257
Associated Practice Facility / Clinic
🏢 Riverside Medical Clinic, Inc Facility NPI 1730180415

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
91 Specialists

Practicing in Riverside, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G17531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1154302529

Doctor of Medicine (M.D.)

Latoya Calvin , NP

Nurse Practitioner

NPI 1174348007

Nurse Practitioner

NPI 1194707091

Doctor of Medicine (M.D.)

Angie Degennaro

Nurse Practitioner - Family

NPI 1215562897
NPI 1285939991

Doctor of Medicine (M.D.)

Dr. James Nelson , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1568434546

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 17, 2024

Record deactivated on July 17, 2024

NPI Profile Active December 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2011

Registered at 7117 BROCKTON AVE, RIVERSIDE, CA 925062615 (Tel: 9517823683)

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Updated Business Mailing Address December 02, 2011

Registered at 3660 ARLINGTON AVE, RIVERSIDE, CA 925063912 (Tel: 9517823683)

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Provider Name / Credentials Updated December 02, 2011

Recorded as W HARRISS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2011

Pediatrics (License #G17531 in CA)

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Initial NPI Registration & Enumeration November 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871576249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2005
Last Update: December 02, 2011
Deactivation Date: July 17, 2024

Mailing Address

3660 Arlington Ave

Riverside, CA 925063912

Phone: 9517823683

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.