Individual provider Active NPI

Jeff Harris, M.D.

  • Family Medicine Physician
  • Malibu, CA
National Provider Identifier
1437135340
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A24797 Issued in CA
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

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318001830 CA Practitioner - Family PracticePractitioner - Pediatric Medicine 4486544780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
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. Home health agency, Calabasas, CA, CCN 058055
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A24797CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint John'S Health Center PastSince Aug 14, 2017 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.