Organization Active NPI

Harbor Comprehensive Health Inc

  • General Practice Physician
  • Wilmington, CA
National Provider Identifier
1093000606
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HARBOR COMPREHENSIVE HEALTH INC
Practice address
803 Figueroa St
Wilmington, CA 90744-2300
Phone
(310) 830-0863
Fax
(310) 830-0863
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Timothy C Collins, DCNPI 1841334067
Title
President
Phone
(310) 830-0863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CA Primary

Addresses

Primary practice location

803 Figueroa St
Wilmington, CA 90744-2300

Mailing address

803 Figueroa St
Wilmington, CA 90744-2300
Phone (310) 830-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111005000427 CA Part B Supplier - Clinic/Group Practice 3971775479 Receives reassigned benefits from 11 practitioners
Practice locations: Wilmington, CA
O20120315000709 CA DME Supplier - Physician - General Practice 3971775479 Practice locations: Wilmington, CA

National Provider Directory

National Provider Directory

Locations

803 Figueroa St
Ste 3
Wilmington, CA 90744

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1093000606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 FIGUEROA ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442300",
            "telephone_number": "310-830-0863",
            "fax_number": "310-830-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 FIGUEROA ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907442300",
            "telephone_number": "310-830-0863",
            "fax_number": "310-830-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR COMPREHENSIVE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-830-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.