JIM RAYBURN HARLEY M.D.
NPI 1861563611
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Jim Rayburn Harley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIM RAYBURN HARLEY M.D. (NPI 1861563611) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (G55907) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Jim Harley's NPI number?
The NPI number for Jim Harley is 1861563611. It was assigned to this individual provider in the NPPES registry on November 13, 2006.
Where is Jim Harley located?
Jim Harley practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Jim Harley's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
When was this NPI record last updated?
The NPPES record for Jim Harley was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jim Rayburn Harley, M.D. · NPI 1861563611
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 13, 2006.
## Identity
- **NPI:** 1861563611 (Entity type: Individual)
- **Enumerated:** November 13, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** G55907 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 00G559070 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1861563611) · Data from the CMS NPPES public registry.