Geoffrey R Harris, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A89734 Issued in CA

Practice address

4428 Via Juanita
Newbury Park, CA 91320-6819

Phone

(805) 262-2012

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Dermatology Center PC

  • Specialist
  • Muncie, IN
  • NPI 1578615266
  NPD (past)
• University Family Physicians, Inc.

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1609842087
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1639282452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 VIA JUANITA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206819",
            "telephone_number": "805-262-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 VIA JUANITA",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206819",
            "telephone_number": "805-262-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "GEOFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A89734",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon R Hands, CRNA
• Charlene Daniele Hansen, MA
• Harfordcare, Inc.
• Raven Whitney Harrington
• Barbara Anna Harris, LCSW
• James Hart
• Lee Hasson
• Ebrahim Hazany, M.D.
• Salar Hazany, MD
• Sarah Hazany, PA-C

• Dermatology Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.