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PACIFIC HARBOR MEDICAL GROUP,INC
NPI 1235232349
Family Medicine in El Segundo, CA

Active since September 06, 2006CLIA 05D0549258 · Waiver
360 N PACIFIC COAST HWY STE 3000, EL SEGUNDO, CA 90245(310) 642-0100(310) 642-0546 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Harbor Medical Group,inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC HARBOR MEDICAL GROUP,INC (NPI 1235232349) is a healthcare organization registered as a family medicine in El Segundo, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Satish Manilal Patel, President, as its authorized official.

NPPES Registry Identity

NPI1235232349
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACIFIC HARBOR MEDICAL GROUP,INC
Location Address360 N PACIFIC COAST HWY STE 3000El Segundo, CA 90245-4430
Mailing Address360 N Pacific Coast Hwy Ste 3000El Segundo, CA 90245-4430 · (310) 642-0100 · Fax (310) 642-0546
Phone(310) 642-0100
Fax(310) 642-0546
Organization SubpartNo
Authorized OfficialSatish Manilal PatelPresident · (310) 642-0100
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
✔ NPI 1235232349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
360 N PACIFIC COAST HWY STE 3000, El Segundo, CA 90245
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0549258

Pacific Harbor Medical Group · Los Angeles, CA
Active · expires Aug 31, 2026
CLIA Number05D0549258
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter N. Mikhail Do
Laboratory Phone(310) 642-0100
Laboratory LocationPacific Harbor Medical Group8610 South Sepulveda Blvd, Suite 208, Los Angeles, CA 90045
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH MIKHAIL M.D.
Family Medicine
360 N PACIFIC COAST HWY STE 3000
EL SEGUNDO, CA 90245
Los Angeles County (310) 642-0100
SATISH MANILAL PATEL M.D.
Family Medicine
360 N PACIFIC COAST HWY STE 3000
EL SEGUNDO, CA 90245
Los Angeles County (310) 642-0100
PACIFIC HARBOR MEDICAL GROUP
Clinic/Center (Urgent Care)
360 N PACIFIC COAST HWY STE 3000
EL SEGUNDO, CA 90245
Los Angeles County (310) 642-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Harbor Medical Group,inc's NPI number?

The NPI number for Pacific Harbor Medical Group,inc is 1235232349. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Pacific Harbor Medical Group,inc located?

Pacific Harbor Medical Group,inc is located at 360 N Pacific Coast Hwy Ste 3000, El Segundo, CA 90245. The listed phone number is (310) 642-0100.

What is Pacific Harbor Medical Group,inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pacific Harbor Medical Group,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0549258) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Harbor Medical Group,inc was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.