HAWTHORNE MORNINGSIDE MEDICAL CLINIC
NPI 1477692408
Pediatrics in Hawthorne, CA
NPI Status: Active since February 06, 2007
Contact Information
12954 HAWTHORNE BLVD
SUITE 104
HAWTHORNE, CA
ZIP 90250
Phone: (310) 679-0269
Fax: (310) 679-1038
- Organization
- Pediatrics
- CLIA Number: 05D0984221
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2027
About HAWTHORNE MORNINGSIDE MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Hawthorne Morningside Medical Clinic, a pediatrician established in Hawthorne, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1477692408 assigned on February 2007. The practitioner's primary taxonomy code is 208000000X with license number A82810 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Hawthorne Morningside Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Lemmon Mcmillan Md (Owner)
- NPI
- 1477692408
- Provider Name
- HAWTHORNE MORNINGSIDE MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 12954 HAWTHORNE BLVD SUITE 104 HAWTHORNE, CA 90250
- Location Phone
- (310) 679-0269
- Location Fax
- (310) 679-1038
- Mailing Address
- 12954 HAWTHORNE BLVD SUITE 104 HAWTHORNE, CA 90250
- Mailing Phone
- (310) 679-0269
- Mailing Fax
- (310) 679-1038
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 12-13-2011
- Code Navigator
A pediatrician like Hawthorne Morningside Medical Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A82810
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | G77541 (CA) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0092930 | MEDICAID (05) | CA |
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
- 05D0984221
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2025
- Certificate Expiration Date
- March 15, 2027
- Laboratory Director
- POTENCIANO PAREDES MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hawthorne Morningside Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HAWTHORNE MORNINGSIDE MEDICAL CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 6 | 9 | 2 | 4 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 12 | 9 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 2 + 9 + 4 + 4 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1477692408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
DR. ROBERT LANCE CHARET MD
Ophthalmology
12954 HAWTHORNE BLVD
SUITE 103
HAWTHORNE, CA
ZIP 90250
DR. DAT Q NGUYEN MD
Internal Medicine
12954 HAWTHORNE BLVD
SUITE 104
HAWTHORNE, CA
ZIP 90250
MRS. AISHA KEEKEEBHAI NP
Nurse Practitioner
(Obstetrics & Gynecology)
12954 HAWTHORNE BLVD
SUITE 100
HAWTHORNE, CA
ZIP 90250
AGHAPY MEDICAL GROUP, INC
Family Medicine
12954 HAWTHORNE BLVD
101
HAWTHORNE, CA
ZIP 90250
ELIZABETH IBARRA MSN, FNP-C
Nurse Practitioner
(Family)
12954 HAWTHORNE BLVD
STE. 104
HAWTHORNE, CA
ZIP 90250
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477692408, enumerated in the NPI registry as an "organization" on February 06, 2007
The provider is located at 12954 Hawthorne Blvd Suite 104 Hawthorne, Ca 90250 and the phone number is (310) 679-0269
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D0984221 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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