HARBOR PEDIATRIC MEDICAL GROUP
NPI 1922015072
Pediatrics in Newport Beach, CA
NPI Status: Active since August 02, 2006
Contact Information
601 DOVER DR STE 7
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 465-4670
Fax: (949) 722-6866
- Organization
- Pediatrics
- CLIA Number: 05D0694044
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-15-2027
About HARBOR PEDIATRIC MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Harbor Pediatric Medical Group, a pediatrician established in Newport Beach, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1922015072 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is David Anthony Michelis Md (Owner)
- NPI
- 1922015072
- Provider Name
- HARBOR PEDIATRIC MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 601 DOVER DR STE 7 NEWPORT BEACH, CA 92663
- Location Phone
- (949) 465-4670
- Location Fax
- (949) 722-6866
- Mailing Address
- 601 DOVER DR STE 7 NEWPORT BEACH, CA 92663
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 01-11-2012
- Code Navigator
A pediatrician like Harbor Pediatric Medical Group 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
- 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 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | (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
- 05D0694044
- Facility Type
- Physician Office
- Certificate Effective Date
- June 16, 2025
- Certificate Expiration Date
- June 15, 2027
- Laboratory Director
- DAVID MICHELIS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Harbor Pediatric Medical Group 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.
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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 | 9 | 2 | 2 | 0 | 1 | 5 | 0 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 0 | 1 | 10 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 0 + 1 + 1 + 0 + 0 + 1 + 4 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1922015072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922015072, enumerated in the NPI registry as an "organization" on August 02, 2006
The provider is located at 601 Dover Dr Ste 7 Newport Beach, Ca 92663 and the phone number is (949) 465-4670
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 05D0694044 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 August 02, 2006. 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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