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Breakwater Medical Group LLC

Clinical Medical Laboratory in Costa Mesa, CA · enumerated 2012 · authorized official Matt Luchini, Accounts Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497019111

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Registry record

Entity type Organization (Type 2)
Legal business name Breakwater Medical Group LLC
Practice address 357 Victoria St, Suite 2, Costa Mesa, CA, 92627
Fax (877) 820-8959
Enumeration date Jun 27, 2012
Last updated in NPPES Jun 27, 2012

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 05D2040895 (CA) Primary

Authorized official

Name Matt Luchini
Title Accounts Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Breakwater Medical Group LLC?
NPPES lists Matt Luchini (Accounts Manager) as the authorized official for this organization.
What is the NPI number for Breakwater Medical Group LLC?
The NPI for Breakwater Medical Group LLC is 1497019111, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-27.