Jeffrey Steven Harris, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A30312 Issued in CA

Practice address

11560 W Pico Blvd
Los Angeles, CA 90064-1520

Phone

(310) 477-8285

Fax

(310) 477-9642

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD
• Anaheim Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• Brentwood Urgent Care

  • Urgent Care Clinic/Center
  • Santa Monica, CA
  • NPI 1053850800
  NPD
• Motion Picture and Television Fund Medical Group Inc

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1013942622
  NPD (past)
• Motion Picture and Television Fund Medical Group, Inc

  • Internal Medicine Physician
  • Glendale, CA
  • NPI 1821324542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083626543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7486 MCCONNELL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451080",
            "telephone_number": "310-641-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641520",
            "telephone_number": "310-477-8285",
            "fax_number": "310-477-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A30312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A303120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James B Harris, M.D.
• Jamie Elizabeth Harris, MS, NCC, CPRW, LPCC
• Janae A Harris, CNA
• Jasolyn Harris, LCSW
• Jeffrey Earl Harris, MD
• Jessica Faye Harris
• Keisha Harris
• Kennard Al-Zahir Harris
• Keturah Neleh Harris
• Kristine D'NA Harris

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.