HENNESSAY MEDICAL DIRECT PRIMARY CARE
NPI 1669171625
Family Medicine in Torrance, CA

Active since February 28, 2023CLIA 05D2289488 · Waiver
3655 LOMITA BLVD STE 307, TORRANCE, CA 90505(424) 235-5235(949) 404-6987 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 21, 2023, Feb 28, 2023 (2 updates tracked since 2023).

About Hennessay Medical Direct Primary Care NPPES

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

HENNESSAY MEDICAL DIRECT PRIMARY CARE (NPI 1669171625) is a healthcare organization registered as a family medicine in Torrance, California and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Megan Hennessay, President, as its authorized official.

NPPES Registry Identity

NPI1669171625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHENNESSAY MEDICAL CORPORATION
Location Address3655 LOMITA BLVD STE 307Torrance, CA 90505-1922
Mailing Address2604 W 225th StTorrance, CA 90505-2902 · (310) 365-8625 · Fax (424) 447-8239
Fax(949) 404-6987
Organization SubpartNo
Authorized OfficialMegan HennessayPresident · (424) 235-5235
Enumeration DateFebruary 28, 2023
Last NPPES UpdateMarch 21, 20232 updates tracked since enumeration
NPPES CertifiedMarch 21, 2023
NPI 1669171625 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.
3655 LOMITA BLVD STE 307, Torrance, CA 90505

Other Names 1

Doing Business AsHennessay Medical Direct Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2289488

Hennessay Medical Direct Primary Care · Torrance, CA
Active · expires Sep 11, 2027
CLIA Number05D2289488
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorMegan Hennessay
Laboratory Phone(424) 235-5235
Laboratory LocationHennessay Medical Direct Primary Care3655 Lomita Blvd. Ste. 307, Torrance, CA 90505
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

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

Family Medicine
3655 LOMITA BLVD STE 307
TORRANCE, CA 90505

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 Hennessay Medical Corporation's NPI number?

The NPI number for Hennessay Medical Corporation is 1669171625. It was assigned to this organization in the NPPES registry on February 28, 2023. The provider is doing business as Hennessay Medical Direct Primary Care.

Where is Hennessay Medical Corporation located?

Hennessay Medical Corporation is located at 3655 Lomita Blvd Ste 307, Torrance, CA 90505. The listed phone number is (424) 235-5235.

What is Hennessay Medical Corporation's specialty?

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

Does Hennessay Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2289488) is associated with this NPI, valid through September 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 Hennessay Medical Corporation was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.