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NORTHEAST VALLEY HEALTH CORPORATION
NPI 1013199264
Clinic/Center - Federally Qualified Health Center (FQHC) in Sun Valley, CA

Active since November 29, 2007CLIA Certified · 3 labs
7223 N. FAIR AVENUE, SUN VALLEY, CA 91352(818) 432-4400(818) 764-7930 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Northeast Valley Health Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST VALLEY HEALTH CORPORATION (NPI 1013199264) is a healthcare organization registered as a federally qualified health center (fqhc) in Sun Valley, California and active in the NPI registry since November 2007. The organization holds 3 active CLIA laboratory certificates and lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1013199264
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address7223 N. FAIR AVENUESun Valley, CA 91352
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 432-4400
Fax(818) 764-7930
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateNovember 29, 2007
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1013199264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7223 N. FAIR AVENUE, Sun Valley, CA 91352
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Other Identifiers 1

Other05-1137CA · Medicare Provider #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1079632

Northeast Valley Health Corporation Sun Valley Health Center · Sun Valley, CA
Active · expires Feb 3, 2028
CLIA Number05D1079632
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorMark Fan, MD
Laboratory Phone(818) 432-4400
Laboratory LocationNortheast Valley Health Corporation Sun Valley Health Center7223 North Fair Avenue, Sun Valley, CA 91352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0967853

Northeast Valley Health Corporation Mission College Student Health Service · Sylmar, CA
Active · expires May 31, 2027
CLIA Number05D0967853
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorChristine Park
Laboratory Phone(818) 898-1388
Laboratory LocationNortheast Valley Health Corporation Mission College Student Health Service13356 Eldridge Avenue, Sylmar, CA 91342
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D0955904

Northeast Valley Health Corporation · Van Nuys, CA
Active · expires Jan 12, 2027
CLIA Number05D0955904
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorChristine Park MD
Laboratory Phone(818) 898-1388
Laboratory LocationNortheast Valley Health Corporation7138 Van Nuys Boulevard, Van Nuys, CA 91405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Valley Health Corporation's NPI number?

The NPI number for Northeast Valley Health Corporation is 1013199264. It was assigned to this organization in the NPPES registry on November 29, 2007.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 7223 N. Fair Avenue, Sun Valley, CA 91352. The listed phone number is (818) 432-4400.

What is Northeast Valley Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northeast Valley Health Corporation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Northeast Valley Health Corporation was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.