Active NPI
Jeff Harris, M.D.
- Family Medicine Physician
- Malibu, CA
National Provider Identifier
1437135340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A24797
- Practice address
- 23805 Stuart Ranch Rd Ste 210
Malibu, CA 90265-4889 - Phone
- (310) 456-1891
- Fax
- (310) 456-9772
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A24797 | CA | Primary |
Addresses
Primary practice location
23805 Stuart Ranch Rd Ste 210
Malibu, CA 90265-4889
Mailing address
23805 Stuart Ranch Rd Ste 210
Malibu, CA 90265-4889
Phone (310) 456-1981
Other names 1
- Lucian Jefferson Harris III
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
23805 Stuart Ranch Rd
Suite 210
Malibu, CA 90265-4889
Phone (310) 456-1891
Hospital & facility affiliations
- Intra Care Home Health SFV Inc.
- Northridge Hospital Medical Center
- Saint John'S Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24797 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint John'S Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Malibu, CA
- NPI 1225556673
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Home Health Agency
- Tarzana, CA
- NPI 1578516522
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1437135340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23805 STUART RANCH RD STE 210",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654889",
"telephone_number": "310-456-1981",
"fax_number": "310-456-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23805 STUART RANCH RD STE 210",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654889",
"telephone_number": "310-456-1891",
"fax_number": "310-456-9772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "JEFF",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A24797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LUCIAN",
"last_name": "HARRIS",
"middle_name": "JEFFERSON",
"suffix": "III",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Malibu, CA
Sources for this page
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.