DR. DIANNE YVONNE HARRIS M.D.
NPI 1457379455
Military Health Care Provider in Travis Afb, CA

Active since July 17, 2006PECOS Enrolled
101 BODIN CIR, SGCXE, TRAVIS AFB, CA 94535(707) 423-7165 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1457379455
Entity TypeIndividualFemale
Primary Taxonomy171000000X
Provider Legal NameDR. DIANNE YVONNE HARRISCredential: M.D.
Location Address101 BODIN CIR, SGCXETravis Afb, CA 94535-1809
Mailing Address5164 Bass CtFairfield, CA 94534-6621 · (707) 344-6730
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 11, 2022
NPI 1457379455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in CA · G064099
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
101 BODIN CIR, Travis Afb, CA 94535

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
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.

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.