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PEDIATRIC HEALTH AND WIC CENTER
NPI 1093716474
Clinic/Center - Federally Qualified Health Center (FQHC) in Van Nuys, CA

Active since August 09, 2005
7138 VAN NUYS BLVD, VAN NUYS, CA 91405(818) 778-6240(818) 994-8005 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 Pediatric Health And Wic Center NPPES

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

PEDIATRIC HEALTH AND WIC CENTER (NPI 1093716474) is a healthcare organization registered as a federally qualified health center (fqhc) in Van Nuys, California and active in the NPI registry since August 2005. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093716474
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address7138 VAN NUYS BLVDVan Nuys, CA 91405-3005
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 778-6240
Fax(818) 994-8005
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1093716474 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
7138 VAN NUYS BLVD, Van Nuys, CA 91405
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Other Names 1

Doing Business AsPediatric Health And Wic Center

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

Other Providers at the Same Location NPPES 7

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

DR. GARY POSNER M.D.
Pediatrics
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240
DR. PEGAH DANESHRAD M.D.
Pediatrics
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240
CHRISTINA LETICIA NORMAN
Nurse Practitioner (Family)
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240
MRS. PATRICIA ANN RODRIGUEZ PNP
Nurse Practitioner (Pediatrics)
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 898-1388
DR. SUSAN YUEN KRYZMAN MD
Pediatrics
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240
CHAWN ELIZABETH WATKINS M.D.
Pediatrics
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240
MRS. ANNIE CHEN JENG M.D.
Pediatrics
7138 VAN NUYS BLVD
VAN NUYS, CA 91405
Los Angeles County (818) 778-6240

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 1093716474. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Pediatric Health And Wic Center.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 7138 Van Nuys Blvd, Van Nuys, CA 91405. The listed phone number is (818) 778-6240.

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.

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.