DR. DIANNE YVONNE HARRIS M.D.
NPI 1457379455
Military Health Care Provider in Travis Afb, CA
About Dr. Dianne Yvonne Harris M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIANNE YVONNE HARRIS M.D. (NPI 1457379455) is an individual military health care provider provider in Travis Afb, California, licensed in California (G064099) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Dianne Yvonne Harris M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dianne Harris reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dianne Harris's NPI number?
The NPI number for Dianne Harris is 1457379455. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Dianne Harris located?
Dianne Harris practices at 101 Bodin Cir Sgcxe, Travis Afb, CA 94535. The listed phone number is (707) 423-7165.
What is Dianne Harris's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Dianne Harris enrolled in Medicare?
Yes. Dianne Harris is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dianne Harris's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dianne Harris reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dianne Harris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dianne Harris was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Dianne Yvonne Harris, M.D. · NPI 1457379455
Military Health Care Provider provider in Travis Afb, California. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1457379455 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** G064099 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 101 BODIN CIR, SGCXE, Travis Afb, CA 94535-1809
- **Phone:** (707) 423-7165
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457379455) · Data from the CMS NPPES public registry.