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HARBOR COMMUNITY CLINIC
NPI 1467490425
Clinic/Center - Federally Qualified Health Center (FQHC) in San Pedro, CA

Active since June 03, 2006CLIA 05D0698919 · Microscopy
593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202(310) 547-5096 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2022, Jan 25, 2016 (2 updates tracked since 2016).

About Harbor Community Clinic NPPES

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

HARBOR COMMUNITY CLINIC (NPI 1467490425) is a healthcare organization registered as a federally qualified health center (fqhc) in San Pedro, California and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through September 13, 2027 and lists Tamra King, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467490425
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHARBOR COMMUNITY CLINIC INC.
Location Address593 W 6TH STSan Pedro, CA 90731-2521
Mailing Address593 W 6th StSan Pedro, CA 90731-2521 · (310) 547-0202 · Fax (310) 547-5096
Phone(310) 547-0202
Fax(310) 547-5096
Organization SubpartNo
Authorized OfficialTamra KingExecutive Director · (310) 547-8241
Enumeration DateJune 3, 2006
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1467490425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 960000085
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
593 W 6TH ST, San Pedro, CA 90731
Open in Google Maps ↗

Other Names 1

Doing Business AsHarbor Community Clinic

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0698919

Harbor Community Clinic · San Pedro, CA
Active · expires Sep 13, 2027
CLIA Number05D0698919
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorCaleb Lusk
Laboratory Phone(310) 547-0202
Laboratory LocationHarbor Community Clinic593 W 6th Street, San Pedro, CA 90731
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

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

DR. JOHN BAPTIST RUSSO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
KARLA BERENICE GUZMAN ALBA ASW132718
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CRISTHIAM AL SANTOS PA-C
Physician Assistant
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
REESE PRESCOTT ISAACSON
Internal Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
MAYRA PEREZ GONZALEZ
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
EVELYN MARCIA DESSER RN, MN, FNP-BC
Nurse Practitioner (Family)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
OLUWAFEMISAYO A AKINNAGBE MD
Family Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CALEB MATTHEW LUSK MD
Family Medicine (Addiction Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202

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 Harbor Community Clinic Inc.'s NPI number?

The NPI number for Harbor Community Clinic Inc. is 1467490425. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Harbor Community Clinic.

Where is Harbor Community Clinic Inc. located?

Harbor Community Clinic Inc. is located at 593 W 6th St, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Harbor Community Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Harbor Community Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0698919) is associated with this NPI, valid through September 13, 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 Harbor Community Clinic Inc. was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.