SERRA COMMUNITY MEDICAL CLINIC- SUNLAND
NPI 1114543113
Internal Medicine in Sun Valley, CA

Active since June 25, 2020CLIA Certified · 2 labs
8426 SUNLAND BLVD, SUN VALLEY, CA 91352(818) 504-4526(818) 504-4690 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2020, Jul 21, 2020, Jun 25, 2020 (3 updates tracked since 2020).

About Serra Community Medical Clinic- Sunland NPPES

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

SERRA COMMUNITY MEDICAL CLINIC- SUNLAND (NPI 1114543113) is a healthcare organization registered as an internal medicine in Sun Valley, California and active in the NPI registry since June 2020. The organization holds 2 active CLIA laboratory certificates and lists Lily Perez, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114543113
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSERRA COMMUNITY MEDICAL CLINIC, INC.
Location Address8426 SUNLAND BLVDSun Valley, CA 91352-3436
Mailing Address9375 San Fernando RdSun Valley, CA 91352-1418 · (818) 504-4700 · Fax (818) 504-4690
Fax(818) 504-4690
Organization SubpartYes
Authorized OfficialLily PerezCredentialing Coordinator · (818) 504-4701
Enumeration DateJune 25, 2020
Last NPPES UpdateJuly 29, 20203 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1114543113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
8426 SUNLAND BLVD, Sun Valley, CA 91352

Other Names 1

Doing Business AsSerra Community Medical Clinic- Sunland

Other Identifiers 1

Medicaid1275545725CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 05D0895211

Serra Community Medical Clinic Inc · Sun Valley, CA
Active · expires Dec 1, 2026
CLIA Number05D0895211
Laboratory TypeOther
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorVinay Keesara
Laboratory Phone(818) 504-4700
Laboratory LocationSerra Community Medical Clinic Inc9375 San Fernando Road, Sun Valley, CA 91352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2188942

Serra Community Medical Clinic Inc Van Nuys · Van Nuys, CA
Active · expires Jul 22, 2028
CLIA Number05D2188942
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorVinaya Keesara
Laboratory Phone(818) 504-4700
Laboratory LocationSerra Community Medical Clinic Inc Van Nuys6850 Sepulveda Blvd Ste 209, 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 5

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

Clinic/Center (Urgent Care)
8426 SUNLAND BLVD
SUN VALLEY, CA 91352
Clinic/Center (Critical Access Hospital)
8426 SUNLAND BLVD
SUN VALLEY, CA 91352
Family Medicine
8426 SUNLAND BLVD
SUN VALLEY, CA 91352
Clinic/Center (Federally Qualified Health Center (FQHC))
8426 SUNLAND BLVD
SUN VALLEY, CA 91352
Pediatrics
8426 SUNLAND BLVD
SUN VALLEY, CA 91352

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 Serra Community Medical Clinic, Inc.'s NPI number?

The NPI number for Serra Community Medical Clinic, Inc. is 1114543113. It was assigned to this organization in the NPPES registry on June 25, 2020. The provider is doing business as Serra Community Medical Clinic- Sunland.

Where is Serra Community Medical Clinic, Inc. located?

Serra Community Medical Clinic, Inc. is located at 8426 Sunland Blvd, Sun Valley, CA 91352. The listed phone number is (818) 504-4526.

What is Serra Community Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Serra Community Medical Clinic, Inc. hold CLIA laboratory certificates?

Yes. 2 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 Serra Community Medical Clinic, Inc. was last updated on July 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.