NORTHEAST VALLEY HEALTH CORPORATION


Address: 13356 Eldridge Ave, Sylmar, CA 91342-3200
Phone: 8183626182

NORTHEAST VALLEY HEALTH CORPORATION (NPI# 1154322642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154322642
Entity Type Organization
Organization Name NORTHEAST VALLEY HEALTH CORPORATION
Other Organization Name L.A. MISSION COLLEGE STUDENT HEALTH CENTER
Practice Address 13356 Eldridge Ave
Sylmar
CA 91342-3200
Mailing Address 1172 N Maclay Ave
San Fernando
CA 91340-1328
Practice Telephone 8183626182
Practice Fax Number 8183672340
Mailing Telephone 8188981388
Mailing Fax Number 8183654031
Enumeration Date 2005-08-09
Last Update Date 2019-06-14
Authorized Official Name MRS. KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8188981388
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
L.A. MISSION COLLEGE STUDENT HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801399860 Northeast Valley Health Corporation Clinic/Center 12759 Van Nuys Blvd, Pacoima, CA 91331-1627 2018-03-15
1740437961 Northeast Valley Health Corporation Clinic/Center 1172 N. Maclay Ave., San Fernando, CA 91340-1300 2008-08-19
1881871721 Northeast Valley Health Corporation Clinic/Center 13356 Eldridge Ave., Sylmar, CA 91342 2008-01-23
1760669667 Northeast Valley Health Corporation Clinic/Center 23763 Valnecia Blvd., Valencia, CA 91355 2008-01-23
1114104015 Northeast Valley Health Corporation Clinic/Center 14624 Sherman Way Fl 6, Van Nuys, CA 91405-2241 2008-01-23
1841477742 Northeast Valley Health Corporation Clinic/Center 11051 N. O'melveny Avenue, San Fernando, CA 91340-4426 2008-01-23
1356528376 Northeast Valley Health Corporation Clinic/Center 12756 Van Nuys Boulevard, Pacoima, CA 91331 2008-01-22
1013199264 Northeast Valley Health Corporation Clinic/Center 7223 N. Fair Avenue, Sun Valley, CA 91352 2007-11-29
1053312587 Northeast Valley Health Corporation Clinic/Center 12451 W. Gain Street, Pacoima, CA 91331 2005-08-09
1417958943 Northeast Valley Health Corporation Clinic/Center 11051 N. O'melveny Ave, San Fernando, CA 91340-4426 2005-08-09

Office Location

Street Address 13356 ELDRIDGE AVE
City SYLMAR
State CA
Zip Code 91342-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619210374 Timothy L Gilmore I Psychologist 13356 Eldridge Ave, Sylmar, CA 91342-3200 2013-04-01
1043439987 Tresha San-martin Specialist/Technologist 13356 Eldridge Ave, Sylmar, CA 91342-3200 2007-04-25
1154441731 Ieda Andal Physician Assistant 13356 Eldridge Ave, Sylmar, CA 91342-3200 2007-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629687223 Evelyn Pinto Morales Technician, Other 14445 Olive View Dr, Sylmar, CA 91342 2020-07-29
1528520988 Yeun Lim Student in an Organized Health Care Education/Training Program 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 2019-04-04
1467914317 Sevak Hovagimyan Pharmacist 13677 Foothill Blvd #b, Sylmar, CA 91342 2019-04-01
1619455086 Cameda Trichele Dickerson Counselor Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 2018-07-30
1407349624 Joseph Sungkon Choi Acupuncturist 10274 Foothill Blvd, Sylmar, CA 91342 2018-06-12
1780194522 Joe Anthony Cardenas Specialist/Technologist 15450 Roxford Street, Sylmar, CA 91342 2017-10-06
1336668466 Juan Hernandez Chiropractor 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 2017-09-09
1891213492 Richard Ignacio Martinez Nurse Practitioner 14987 Oro Grande St., Sylmar, CA 91342 2017-09-03
1104349497 Vanessa Gamboa Social Worker 13145 Bromont Ave., 14, Sylmar, CA 91342 2017-07-19
1982138368 Christina Guest Psychiatry & Neurology Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 2017-04-12
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972005528 Community Medical Wellness Centers Usa Clinic/Center 14117 Hubbard St Unit M, Sylmar, CA 91342-4765 2018-02-28
1881871721 Northeast Valley Health Corporation Clinic/Center 13356 Eldridge Ave., Sylmar, CA 91342 2008-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184224156 Via Care Community Health Center Clinic/Center 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 2020-10-29
1821697483 North East Medical Services Clinic/Center 2633 San Bruno Ave, San Francisco, CA 94134-1597 2020-10-23
1508465303 Valley Health Team, Inc Clinic/Center 459 W Line St Ste C, Bishop, CA 93514-3333 2020-10-22
1699373209 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 550, Modesto, CA 95350-4573 2020-10-15
1508464116 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 2020-10-15
1134727746 Golden Valley Health Center Clinic/Center 1524 Mchenry Ave Ste 565, Modesto, CA 95350-4500 2020-10-15
1083221451 Harmony Health Medical Clinic and Family Resource Center Clinic/Center 1930 N. Beale Road, Marysville, CA 95901-6915 2020-09-29
1235745928 Community Medical Centers Inc Clinic/Center 747 E Channel St, Stockton, CA 95202-2628 2020-09-18
1760098503 Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare Clinic/Center 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 2020-09-17
1164037149 Camarena Health Clinic/Center 16645 Road 26, Madera, CA 93638-0830 2020-09-15
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Competitor

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City SYLMAR
Zip Code 91342

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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