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HAWTHORNE MORNINGSIDE MEDICAL CLINIC
NPI 1477692408
Pediatrics in Hawthorne, CA

Active since February 06, 2007CLIA 05D0984221 · Waiver
12954 HAWTHORNE BLVD, SUITE 104, HAWTHORNE, CA 90250(310) 679-0269(310) 679-1038 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hawthorne Morningside Medical Clinic NPPES

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

HAWTHORNE MORNINGSIDE MEDICAL CLINIC (NPI 1477692408) is a healthcare organization registered as a pediatrics in Hawthorne, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 15, 2027 and lists Lemmon Mcmillan, Owner, as its authorized official.

NPPES Registry Identity

NPI1477692408
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHAWTHORNE MORNINGSIDE MEDICAL CLINIC
Location Address12954 HAWTHORNE BLVD, SUITE 104Hawthorne, CA 90250-4418
Mailing Address12954 Hawthorne Blvd, Suite 104Hawthorne, CA 90250-4418 · (310) 679-0269 · Fax (310) 679-1038
Phone(310) 679-0269
Fax(310) 679-1038
Organization SubpartNo
Authorized OfficialLemmon McmillanOwner · (310) 901-4714
Enumeration DateFebruary 6, 2007
Last NPPES UpdateDecember 13, 2011
✔ NPI 1477692408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A82810
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License G77541 (CA)
12954 HAWTHORNE BLVD, Hawthorne, CA 90250
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0092930CA

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 05D0984221

Hawthorne Morningside Medical Clinic · Lawndale, CA
Active · expires Mar 15, 2027
CLIA Number05D0984221
Laboratory TypePhysician Office
Certificate Effective DateMarch 16, 2025
Certificate Expiration DateMarch 15, 2027
Laboratory DirectorPotenciano Paredes MD
Laboratory Phone(310) 679-0269
Laboratory LocationHawthorne Morningside Medical Clinic15901 Hawthorne Blvd Suite 250, Lawndale, CA 90260
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 5

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

DR. ROBERT LANCE CHARET MD
Ophthalmology
12954 HAWTHORNE BLVD, SUITE 103
HAWTHORNE, CA 90250
Los Angeles County (310) 676-1373
MRS. AISHA KEEKEEBHAI NP
Nurse Practitioner (Obstetrics & Gynecology)
12954 HAWTHORNE BLVD, SUITE 100
HAWTHORNE, CA 90250
Los Angeles County (310) 978-6900
DR. DAT Q NGUYEN MD
Internal Medicine
12954 HAWTHORNE BLVD, SUITE 104
HAWTHORNE, CA 90250
Los Angeles County (310) 679-0269
ELIZABETH IBARRA MSN, FNP-C
Nurse Practitioner (Family)
12954 HAWTHORNE BLVD, STE. 104
HAWTHORNE, CA 90250
Los Angeles County (310) 679-0269
AGHAPY MEDICAL GROUP, INC
Family Medicine
12954 HAWTHORNE BLVD, 101
HAWTHORNE, CA 90250
Los Angeles County (310) 219-1550

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 Hawthorne Morningside Medical Clinic's NPI number?

The NPI number for Hawthorne Morningside Medical Clinic is 1477692408. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Hawthorne Morningside Medical Clinic located?

Hawthorne Morningside Medical Clinic is located at 12954 Hawthorne Blvd Suite 104, Hawthorne, CA 90250. The listed phone number is (310) 679-0269.

What is Hawthorne Morningside Medical Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Hawthorne Morningside Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0984221) is associated with this NPI, valid through March 15, 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 Hawthorne Morningside Medical Clinic was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.