NORTHEAST VALLEY HEALTH CORPORATION (NPI# 1184625568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184625568 |
| Entity Type | Organization |
| Organization Name | NORTHEAST VALLEY HEALTH CORPORATION |
| Other Organization Name | TRANSITIONS TO WELLNESS-VAN NUYS HEALTH CENTER |
| Practice Address |
6551 Van Nuys Blvd Fl 2 Van Nuys CA 91401-1566 |
| Mailing Address |
1172 N Maclay Ave San Fernando CA 91340-1328 |
| Practice Telephone | 8187658656 |
| Practice Fax Number | 8187656982 |
| Mailing Telephone | 8188981388 |
| Mailing Fax Number | 8182709585 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | MRS. KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8188981388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PART B | CB204579 | 01 |
| MIN | W14819D | 01 | |
| CA | MEDICARE PART A | 05-1086 | 01 |
| CA | MEDI-CAL | FHC70582F | 01 |
| Other Name | Type Code |
|---|---|
| HOMELESS DIVISION | Doing Business As Name - Organization |
| Transitions to Wellness-Van Nuys Health Center | Doing Business As Name - Organization |
| 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 |
| 1154322642 | Northeast Valley Health Corporation | Clinic/Center | 13356 Eldridge Ave, Sylmar, CA 91342-3200 | 2005-08-09 |
| 1053312587 | Northeast Valley Health Corporation | Clinic/Center | 12451 W. Gain Street, Pacoima, CA 91331 | 2005-08-09 |
| Street Address |
6551 VAN NUYS BLVD FL 2 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91401-1566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215204235 | Sharilyn J Fields | Nurse Practitioner | 6551 Van Nuys Blvd Fl 2, Van Nuys, CA 91401-1566 | 2011-11-18 |
| 1811174022 | Northeast Valley Health Corporation | Clinic/Center | 6551 Van Nuys Blvd Fl 2, Van Nuys, CA 91401-1566 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004101 | Express Homeservice Inc | Home Health | 13515 Victory Blvd Suite 207, Van Nuys, CA 91401 | 2019-07-12 |
| 1285192690 | Community Care Hospice,inc. | Hospice Care, Community Based | 13629 1/2 Victory Blvd., Van Nuys, CA 91401 | 2019-03-05 |
| 1124501242 | Steven Vu Pham | Pharmacist | 5601 Van Nuys Boulevard, Sherman Oaks, CA 91401 | 2018-09-14 |
| 1184116469 | Well Care Home Health Care Inc | Home Health | 13735 Victory Blvd Ste 3, Van Nuys, CA 91401 | 2018-06-03 |
| 1821504911 | Martha J Rivas-mendoza | Specialist/Technologist | 3130 Burbank Blvd, Sherman Oaks, CA 91401 | 2017-12-27 |
| 1780104687 | Jessica Tang | Marriage & Family Therapist | 13130 Burbank Boulevard, Sherman Oaks, CA 91401 | 2017-06-21 |
| 1184152530 | Creative Approach Residential Inc. | Clinic/Center | 5348 Allott Ave., Sherman Oaks, CA 91401 | 2017-05-30 |
| 1578004503 | David Mashadian Chiropractic Dc Inc | Chiropractor | 14401 Sylvan St #101, Van Nuys, CA 91401 | 2017-03-09 |
| 1154872414 | A.n.t. Hospice Inc | Hospice Care, Community Based | 13629 1/2 Victory Blvd, Van Nuys, CA 91401 | 2016-10-20 |
| 1245785070 | Jack Bayraymyan Dental Group Inc. | Dentist | 14424 Victory Blvd., Van Nuys, CA 91401 | 2016-08-22 |
| Find all providers in zip 91401 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1952941841 | Arm 4 Arm Foundation | Clinic/Center | 7400 Van Nuys Blvd Ste 111, Van Nuys, CA 91405-1972 | 2020-01-09 |
| 1700350659 | Center for Family Health & Education Inc | Clinic/Center | 6850 Sepulveda Blvd Ste 210, Van Nuys, CA 91405-4446 | 2019-01-14 |
| 1982075115 | Pediatric and Family Medical Center | Clinic/Center | 6618 Van Nuys Blvd, Van Nuys, CA 91405-4617 | 2015-10-14 |
| 1811174022 | Northeast Valley Health Corporation | Clinic/Center | 6551 Van Nuys Blvd Fl 2, Van Nuys, CA 91401-1566 | 2008-01-30 |
| 1093716474 | Northeast Valley Health Corporation | Clinic/Center | 7138 Van Nuys Blvd, Van Nuys, CA 91405-3005 | 2005-08-09 |
| 1629079009 | Northeast Valley Health Corporation | Clinic/Center | 14624 Sherman Way, Suite 600, Van Nuys, CA 91405-2241 | 2005-08-09 |
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| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
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| Find all providers with the same taxonomy | ||||
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| 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.