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NORTHEAST VALLEY HEALTH CORPORATION
NPI 1063699080
Clinic/Center - Family Planning, Non-Surgical in San Fernando, CA

Active since January 22, 2008CLIA Certified · 3 labs
1600 SAN FERNANDO ROAD, SAN FERNANDO, CA 91340(818) 365-8086(818) 898-4826 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: September 20, 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 1063699080) is a healthcare organization registered as a family planning, non-surgical in San Fernando, California and active in the NPI registry since January 2008. The organization holds 3 active CLIA laboratory certificates and lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063699080
Entity TypeOrganization
Primary Taxonomy261QF0050X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address1600 SAN FERNANDO ROADSan Fernando, CA 91340
Mailing Address1172 N. Maclay Ave.San Fernando, CA 91340 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 365-8086
Fax(818) 898-4826
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateJanuary 22, 2008
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1063699080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Family Planning, Non-SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QF0050X
License✔ Licensed in CA · 960000124
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
1600 SAN FERNANDO ROAD, San Fernando, CA 91340
Open in Google Maps ↗

Other Identifiers 1

OtherHAP11580FCA · Family Pact

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) 05D0666583

Northeast Valley Health Corporation- San Fernando Health Center · San Fernando, CA
Active · expires Apr 11, 2027
CLIA Number05D0666583
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorMark Fan
Laboratory Phone(818) 365-8086
Laboratory LocationNortheast Valley Health Corporation- San Fernando Health Center1600 San Fernando Road, San Fernando, CA 91340
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ROWENA REYES ALCANTARA-FERNANDEZ N.P.
Nurse Practitioner (Family)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Medical Specialty)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MICHAEL S. WALLACK M.D.
Internal Medicine
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086

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 1063699080. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 1600 San Fernando Road, San Fernando, CA 91340. The listed phone number is (818) 365-8086.

What is Northeast Valley Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Family Planning, Non-Surgical, with taxonomy code 261QF0050X.

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.