Provider Demographics
NPI:1194925198
Name:HARTMAN, JAMES KIRK (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KIRK
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 DIABLO RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3432
Mailing Address - Country:US
Mailing Address - Phone:925-683-4880
Mailing Address - Fax:925-362-1043
Practice Address - Street 1:390 DIABLO RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3432
Practice Address - Country:US
Practice Address - Phone:925-683-4880
Practice Address - Fax:925-362-1043
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA960632084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry