MARVA ALBERTHA HARRIS NPI 1003010547

Counselor (Addiction (Substance Use Disorder)) in San Diego, CA

About MARVA HARRIS

Marva Harris is a provider in San Diego, CA. The NPI number assigned to this provider is 1003010547. The practitioner's primary taxonomy code is Counselor (101YA0400X). The provider is registered as an individual and their NPI record was last updated 6 years ago.

NPI1003010547 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MARVA ALBERTHA HARRIS
Provider Location Address4335 SWIFT AVE SAN DIEGO, CA 92104 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4974 EL CAJON BLVD SUITE A SAN DIEGO, CA 92115 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-29-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MARVA ALBERTHA HARRIS
4335 SWIFT AVE
SAN DIEGO, CA
ZIP 92104
Phone: (619) 358-5665
Fax: (619) 358-5665
Get Directions

Mailing Address

MARVA ALBERTHA HARRIS
4974 EL CAJON BLVD
SUITE A
SAN DIEGO, CA
ZIP 92115
Phone: (619) 286-4600
Fax: (619) 286-0060

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HDC70114FMEDICAID (05)CA

Map Location


MARVA ALBERTHA HARRIS address is 4335 SWIFT AVE SAN DIEGO, CA 92104