NOAH HARNACKE
NPI 1689437113
General Practice in San Diego, CA
About Noah Harnacke NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOAH HARNACKE (NPI 1689437113) is an individual general practice provider in San Diego, California, licensed in Virginia (0102209507) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Noah Harnacke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92134
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 Noah Harnacke's NPI number?
The NPI number for Noah Harnacke is 1689437113. It was assigned to this individual provider in the NPPES registry on February 6, 2024.
Where is Noah Harnacke located?
Noah Harnacke practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6400.
What is Noah Harnacke's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Noah Harnacke enrolled in Medicare?
Yes. Noah Harnacke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Noah Harnacke was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Noah Harnacke · NPI 1689437113
General Practice physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 6, 2024.
## Identity
- **NPI:** 1689437113 (Entity type: Individual)
- **Enumerated:** February 6, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0102209507 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 34800 BOB WILSON DR, San Diego, CA 92134-1098
- **Phone:** (619) 532-6400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 24, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1689437113) · Data from the CMS NPPES public registry.