Jeff Harris, M.D. a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFF HARRIS, M.D. A MEDICAL CORPORATION

Practice address

23805 Stuart Ranch Rd. #310
Malibu, CA 90265

Phone

(714) 389-7420

Fax

(310) 456-9772

NPI assigned

Sep 6, 2017

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colette Thilken

Title

Office Adminsitrator

Phone

(949) 533-0319

Specialties & licenses 2

Addresses

Other names 1

• Lucian Jefferson Harris III Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeff Harris, M.D.

  • Family Medicine Physician
  • Malibu, CA
  • NPI 1437135340
  Medicare reassignment
• Bruce Lockwood, M.D.

  • Psychiatry Physician
  • Malibu, CA
  • NPI 1376756866
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1225556673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23805 STUART RANCH RD # 210",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654856",
            "telephone_number": "714-389-7420",
            "fax_number": "310-456-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23805 STUART RANCH RD. #310",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "714-389-7420",
            "fax_number": "310-456-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF HARRIS, M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "THILKEN",
        "authorized_official_first_name": "COLETTE",
        "authorized_official_title_or_position": "OFFICE ADMINSITRATOR",
        "authorized_official_telephone_number": "949-533-0319"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A24797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucian Jefferson Harris III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marjorie Holt, CCT
• James Zhe Hui, M.D.
• Infinity Malibu LLC (Infinity Malibu)
• Shalini Jain, MD
• James & Bentz (The Beach House)
• Rosanna Jennett, R.N.
• Jennifer Morgan Physical Therapy (Morgan Occupational and Speech Therapy)
• Jessica Risk PT Inc (Restoration Physical Therapy)
• Rhonda Lee Jessum, PH.D.
• Samantha Janine Johnson

• Family Medicine Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.