SHARED HARVEST MYCOVIDMD
NPI 1932789757
Clinic/Center - Community Health in Culver City, CA

Q: What is Shared Harvest Foundation Inc's NPI number?

The NPI number for Shared Harvest Foundation Inc is 1932789757. It was assigned to this organization in the NPPES registry on April 14, 2021. The provider is doing business as Shared Harvest Mycovidmd.

Q: What is Shared Harvest Foundation Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since April 14, 2021

10000 WASHINGTON BLVD STE 600, CULVER CITY, CA 90232(323) 880-0121(801) 665-5652 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, Apr 14, 2021 (2 updates tracked since 2021).

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About Shared Harvest Mycovidmd NPPES

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

SHARED HARVEST MYCOVIDMD (NPI 1932789757) is a healthcare organization registered as a community health in Culver City, California and active in the NPI registry since April 2021. The organization lists Nanaefua Afoh-manin, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1932789757

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameSHARED HARVEST FOUNDATION INC

Location Address10000 WASHINGTON BLVD STE 600Culver City, CA 90232-2783

Mailing Address23934 Decorah RdDiamond Bar, CA 91765-1407 · (917) 748-3832

Phone(323) 880-0121

Fax(801) 665-5652

Organization SubpartNo

Authorized OfficialNanaefua Afoh-maninChief Medical Officer · (917) 748-3832

Enumeration DateApril 14, 2021

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1932789757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

10000 WASHINGTON BLVD STE 600, Culver City, CA 90232

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Other Names 1

Doing Business AsShared Harvest Mycovidmd

Other Identifiers 1

MedicaidB4082017CA

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 Shared Harvest Foundation Inc's NPI number?

The NPI number for Shared Harvest Foundation Inc is 1932789757. It was assigned to this organization in the NPPES registry on April 14, 2021. The provider is doing business as Shared Harvest Mycovidmd.

Where is Shared Harvest Foundation Inc located?

Shared Harvest Foundation Inc is located at 10000 Washington Blvd Ste 600, Culver City, CA 90232. The listed phone number is (323) 880-0121.

What is Shared Harvest Foundation Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Shared Harvest Foundation Inc was last updated on August 4, 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.