HARBOR COMMUNITY CLINIC
NPI 1467490425
Clinic/Center - Federally Qualified Health Center (FQHC) in San Pedro, CA
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D0698919
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 09-13-2027
About HARBOR COMMUNITY CLINIC
This page provides the complete NPI Profile along with additional information for Harbor Community Clinic, a primary care provider established in San Pedro, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1467490425 assigned on June 2006. The practitioner's primary taxonomy code is 261QF0400X with license number 960000085 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Harbor Community Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Harbor Community Clinic. The authorized official of this NPI record is Ms. Tamra King (Executive Director)
- NPI
- 1467490425 Verify this NPI
- Provider Legal Name
- HARBOR COMMUNITY CLINIC INC.
- Other Organization Name
- HARBOR COMMUNITY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 593 W 6TH ST SAN PEDRO, CA 90731
- Location Phone
- (310) 547-0202
- Location Fax
- (310) 547-5096
- Mailing Address
- 593 W 6TH ST SAN PEDRO, CA 90731
- Mailing Phone
- (310) 547-0202
- Mailing Fax
- (310) 547-5096
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2006
- Last Update Date
- 02-08-2022
- Code Navigator
A primary care provider (PCP) like Harbor Community Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 960000085
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0698919
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- September 14, 2025
- Certificate Expiration Date
- September 13, 2027
- Laboratory Director
- CALEB LUSK
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Harbor Community Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for HARBOR COMMUNITY CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SAN PEDRO, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467490425, enumerated as an "organization" on June 03, 2006.
The provider is located at 593 W 6TH ST SAN PEDRO, CA 90731 and the phone number is (310) 547-0202.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
