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PACOIMA MEDICAL CENTER
NPI 1114053279
Family Medicine in Pacoima, CA

Active since February 25, 2007
13563 VAN NUYS BLVD, PACOIMA, CA 91331(818) 890-5300(818) 890-0880 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2024, Jan 19, 2022 (2 updates tracked since 2022).

About Pacoima Medical Center NPPES

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

PACOIMA MEDICAL CENTER (NPI 1114053279) is a healthcare organization registered as a family medicine in Pacoima, California and active in the NPI registry since February 2007. The organization lists Odilia Walsh, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114053279
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGAGE MEDICAL CLINIC INC
Location Address13563 VAN NUYS BLVDPacoima, CA 91331-3029
Mailing Address13563 Van Nuys BlvdPacoima, CA 91331-3029 · (818) 890-5300 · Fax (818) 890-0880
Phone(818) 890-5300
Fax(818) 890-0880
Organization SubpartNo
Authorized OfficialOdilia WalshAdministrator · (562) 706-2433
Enumeration DateFebruary 25, 2007
Last NPPES UpdateFebruary 9, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1114053279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A47748✔ Licensed in CA · G29047
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A67946 (CA)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
13563 VAN NUYS BLVD, Pacoima, CA 91331
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Other Names 1

Doing Business AsPacoima Medical 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 2

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

HYUK KIM D.O.
Obstetrics & Gynecology
13563 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 890-5300
UNICARE COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
13563 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 890-5300

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 Gage Medical Clinic Inc's NPI number?

The NPI number for Gage Medical Clinic Inc is 1114053279. It was assigned to this organization in the NPPES registry on February 25, 2007. The provider is doing business as Pacoima Medical Center.

Where is Gage Medical Clinic Inc located?

Gage Medical Clinic Inc is located at 13563 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (818) 890-5300.

What is Gage Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gage Medical Clinic Inc was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.