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L.A. MISSION COLLEGE STUDENT HEALTH CENTER
NPI 1154322642
Clinic/Center - Federally Qualified Health Center (FQHC) in Sylmar, CA

Active since August 09, 2005
13356 ELDRIDGE AVE, SYLMAR, CA 91342(818) 362-6182(818) 367-2340 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2022, Jun 14, 2019 (2 updates tracked since 2019).

About L.a. Mission College Student Health Center NPPES

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

L.A. MISSION COLLEGE STUDENT HEALTH CENTER (NPI 1154322642) is a healthcare organization registered as a federally qualified health center (fqhc) in Sylmar, 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

NPI1154322642
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address13356 ELDRIDGE AVESylmar, CA 91342-3200
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 362-6182
Fax(818) 367-2340
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 1154322642 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
13356 ELDRIDGE AVE, Sylmar, CA 91342
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Other Names 1

Doing Business AsL.a. Mission College Student Health 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 3

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

MRS. TRESHA SAN-MARTIN MS, ATC
Specialist/Technologist (Athletic Trainer)
13356 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 837-1200
MRS. IEDA ANDAL PA
Physician Assistant
13356 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 362-6182
DR. TIMOTHY L GILMORE I PSY.D
Psychologist
13356 ELDRIDGE AVE
SYLMAR, CA 91342
Los Angeles County (818) 257-4367

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 1154322642. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as L.A. Mission College Student Health Center.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 13356 Eldridge Ave, Sylmar, CA 91342. The listed phone number is (818) 362-6182.

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.