BLUE OCEAN MEDICAL GROUP LLC
NPI 1235791203
Family Medicine in Dededo, GU

Active since July 01, 2019CLIA 65D2170459 · Waiver
655 HARMON LOOP RD STE 108, DEDEDO, GU 96929(671) 633-4447 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Ocean Medical Group Llc NPPES

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

BLUE OCEAN MEDICAL GROUP LLC (NPI 1235791203), doing business as Ihp Medical Group, is a healthcare organization registered as a family medicine in Dededo, Guam and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Hieu T Campus, Owner, as its authorized official.

NPPES Registry Identity

NPI1235791203
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLUE OCEAN MEDICAL GROUP LLC
Location Address655 HARMON LOOP RD STE 108Dededo, GU 96929-6544
Mailing Address655 Harmon Loop Rd Ste 108Dededo, GU 96929-6544 · (671) 633-4447
Organization SubpartNo
Authorized OfficialHieu T CampusOwner · (671) 633-4447
Enumeration DateJuly 1, 2019
NPI 1235791203 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.

Other Names 1

Doing Business AsIhp Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 65D2170459

Blue Ocean Medical Group LLC · Dededo, GU
Active · expires Aug 11, 2027
CLIA Number65D2170459
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorHieu T. Campus
Laboratory Phone(671) 633-4447
Laboratory LocationBlue Ocean Medical Group LLC655 Harmon Loop Rd Ste 108, Dededo, GU 96929
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

Pharmacist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Social Worker (Clinical)
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Pharmacy
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Hospitalist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Nurse Practitioner
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Pharmacist
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Family Medicine (Sports Medicine)
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929
Dentist (Pediatric Dentistry)
655 HARMON LOOP RD STE 108
DEDEDO, GU 96929

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 Blue Ocean Medical Group LLC's NPI number?

The NPI number for Blue Ocean Medical Group LLC is 1235791203. It was assigned to this organization in the NPPES registry on July 1, 2019. The provider is doing business as IHP Medical Group.

Where is Blue Ocean Medical Group LLC located?

Blue Ocean Medical Group LLC is located at 655 Harmon Loop Rd Ste 108, Dededo, GU 96929. The listed phone number is (671) 633-4447.

What is Blue Ocean Medical Group LLC's specialty?

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

Does Blue Ocean Medical Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 65D2170459) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Ocean Medical Group LLC was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.