Active NPI
Harbor Community Clinic Inc.
- Federally Qualified Health Center (FQHC)
- Long Beach, CA
National Provider Identifier
1629936661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- HARBOR COMMUNITY CLINIC INC.
- Practice address
- 1040 Elm Ave
Suites 101 and 105
Long Beach, CA 90813-3265 - Phone
- (310) 547-0202
- NPI assigned
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dahina Clarizza Hernandez
- Title
- Credentialing & Compliance Analyst
- Phone
- (310) 547-0202
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Family Medicine Physician | 207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
1040 Elm Ave
Suites 101 and 105
Long Beach, CA 90813-3265
Mailing address
593 W 6TH St
San Pedro, CA 90731-2521
Phone (310) 547-0202
National Provider Directory
National Provider Directory- Tax ID family
- Harbor Community Clinic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- San Pedro, CA
- NPI 1831739614
Locations
1040 Elm Ave
#101
Long Beach, CA 90813
Phone (310) 547-0202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1629936661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 W 6TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312521",
"telephone_number": "310-547-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 ELM AVE",
"address_2": "SUITES 101 AND 105",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133265",
"telephone_number": "310-547-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR COMMUNITY CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-09",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "DAHINA",
"authorized_official_middle_name": "CLARIZZA",
"authorized_official_title_or_position": "CREDENTIALING & COMPLIANCE ANALYST",
"authorized_official_telephone_number": "310-547-0202"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.