Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SERRA COMMUNITY MEDICAL CLINIC, INC.
NPI 1114543113
Internal Medicine in Sun Valley, CA

Q: 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.

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

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

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 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jul 29, 2020, Jul 21, 2020 and 1 more (4 updates tracked since 2020).

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About Serra Community Medical Clinic, Inc. NPPES

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

SERRA COMMUNITY MEDICAL CLINIC, INC. (NPI 1114543113), doing business as Serra Community Medical Clinic- Sunland, 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 Janakammal S Durairaj, Ceo, 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

Phone(818) 504-4526

Fax(818) 504-4690

Organization SubpartYes

Authorized OfficialJanakammal S DurairajCeo · (818) 504-4700

Enumeration DateJune 25, 2020

Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ 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

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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.

SFV HEALTH CENTER, INC.

Clinic/Center (Critical Access Hospital)