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HOMER MCCOY HARRISON JR. PA
NPI 1760523161
Physician Assistant - Medical in Stockton, CA

Active since February 09, 2007
3663 ARCH RD, STOCKTON, CA 95215(209) 943-2202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Homer Mccoy Harrison Jr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMER MCCOY HARRISON JR. PA (NPI 1760523161) is an individual medical provider in Stockton, California, licensed in California (PA10433) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1760523161
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameHOMER MCCOY HARRISON JR.Credential: PA
Location Address3663 ARCH RDStockton, CA 95215-8315
Mailing Address2421 Grimsby DrAntioch, CA 94509-5866 · (925) 778-2358
Phone(209) 943-2202
Sole ProprietorNo
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1760523161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA10433
3663 ARCH RD, Stockton, CA 95215
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JARED VALENZUELA L.AC.
Acupuncturist
3663 ARCH RD
STOCKTON, CA 95215
San Joaquin County (209) 943-2202
MS. JOSEPHINE LYNNE NANCE PT
Physical Therapist
3663 ARCH RD, ST 400
STOCKTON, CA 95215
San Joaquin County (209) 943-0202
BRADLEY DONALD TOURTLOTTE MD
General Practice
3663 ARCH RD, SUITE 400
STOCKTON, CA 95215
San Joaquin County (209) 943-2202

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 Homer Harrison Jr.'s NPI number?

The NPI number for Homer Harrison Jr. is 1760523161. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Homer Harrison Jr. located?

Homer Harrison Jr. practices at 3663 Arch Rd, Stockton, CA 95215. The listed phone number is (209) 943-2202.

What is Homer Harrison Jr.'s specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Homer Harrison Jr. was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.