NORTHEAST VALLEY HEALTH CORPORATION


Address: 12759 Van Nuys Blvd, Pacoima, CA 91331-1627
Phone: 8188960531

NORTHEAST VALLEY HEALTH CORPORATION (NPI# 1801399860) 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) 1801399860
Entity Type Organization
Organization Name NORTHEAST VALLEY HEALTH CORPORATION
Other Organization Name PACOIMA WOMEN'S HEALTH CENTER
Practice Address 12759 Van Nuys Blvd
Pacoima
CA 91331-1627
Mailing Address 1172 N Maclay Ave
San Fernando
CA 91340-1328
Practice Telephone 8188960531
Practice Fax Number 8188965850
Mailing Telephone 8188981388
Mailing Fax Number 8182709585
Enumeration Date 2018-03-15
Last Update Date 2019-06-13
Authorized Official Name KIMBERLY WYARD (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8188981388
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0050X Clinic/Center
Specialization: Family Planning, Non-Surgical
Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pacoima Women's Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1417958943 Northeast Valley Health Corporation Clinic/Center 11051 N. O'melveny Ave, San Fernando, CA 91340-4426 2005-08-09

Office Location

Street Address 12759 VAN NUYS BLVD
City PACOIMA
State CA
Zip Code 91331-1627

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992315956 Kimberly Marie Tallas Dental Assistant 9745 Laurel Canyon, Pacoima, CA 91331 2020-08-05
1841822574 Hathaway-sycamores Child and Family Services Psychologist 11505 Herrick Ave, Pacoima, CA 91331 2020-02-11
1649810995 Amaris Care Inc Home Health 8953 Woodman Ave Ste 201, Arleta, CA 91331 2020-01-14
1801453758 Hathaway Sycamores Child and Family Services Psychologist 13233 Eustace St., Pacoima, CA 91331 2019-05-28
1083189807 Angelina Rosina Guzman Student in an Organized Health Care Education/Training Program 13459 Filmore St, 1/4, Pacoima, CA 91331 2018-10-08
1467972364 Msa Pharmaceutical Services Corporation Pharmacy 9720 Woodman Ave, Arleta, CA 91331 2017-06-21
1508213588 Yari Meita Fanusie Counselor 11643 Glenoaks Blvd., Pacoima, CA 91331 2016-05-19
1972992915 Ray Ayala Counselor 16643 Glenoaks Bl., Pacoima, CA 91331 2015-01-14
1538569249 Ludivina Gutierrez Occupational Therapist 14061 Terra Bella Street, Arleta, CA 91331 2014-08-29
1043646557 Umoh-chidi Daniel Physical Therapist 12418 Gain St., Pacoima, CA 91331 2013-09-17
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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
1053312587 Northeast Valley Health Corporation Clinic/Center 12451 W. Gain Street, Pacoima, CA 91331 2005-08-09
1447437462 Northeast Valley Health Corporation Clinic/Center 12756 Van Nuys Boulevard, Pacoima, CA 91331 2008-01-22

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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 PACOIMA
Zip Code 91331

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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