Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdul Kezin Harris, MD

Individual provider Surgery Physician · NPI 1396859393

Abdul Kezin Harris, MD is a General Surgery in Santa Rosa, California. Graduated from University of California, Davis School of Medicine in 1995, 31 years ago. Practices with Saint Agnes Medical Foundation, a 162-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1701 4th St Ste 200
Santa Rosa, CA 95404-3601
Phone: (707) 579-2100
Fax: (707) 523-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A61120 (CA)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence A61120 (CA)

Record details

NPI number1396859393
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESFebruary 7, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Saint Agnes Medical Foundation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Santa Rosa