Active NPI
Kenneth Alexander Harris, MD
- Family Medicine Physician
- Palm Desert, CA
National Provider Identifier
1972562023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G35777
- Practice address
- 73211 Fred Waring Dr
Ste 100
Palm Desert, CA 92260 - Phone
- (760) 568-4939
- Fax
- (760) 568-4769
- NPI assigned
- Mar 18, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 | G35777 | CA | Primary |
Addresses
Primary practice location
73211 Fred Waring Dr
Ste 100
Palm Desert, CA 92260
Mailing address
73211 Fred Waring Dr
Ste 100
Palm Desert, CA 92260
Phone (760) 568-4939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35777 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Past | Accepting new patients | |
| A Gregory Caruso MD Inc | Family Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sunlife Medical Group
- Family Medicine Physician
- Palm Desert, CA
- NPI 1215149745
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972562023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73211 FRED WARING DR",
"address_2": "STE 100",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-568-4939",
"fax_number": "760-568-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73211 FRED WARING DR",
"address_2": "STE 100",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-568-4939",
"fax_number": "760-568-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "KENNETH",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G35777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.