NORTHEAST VALLEY HEALTH CORPORATION
NPI 1154510139
Clinic/Center - Federally Qualified Health Center (FQHC) in San Fernando, CA

Q: What is Northeast Valley Health Corporation's NPI number?

The NPI number for Northeast Valley Health Corporation is 1154510139. It was assigned to this organization in the NPPES registry on October 16, 2007.

Q: 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.

Active since October 16, 2007

1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 898-1388(818) 365-4031 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 13, 2019 (2 updates tracked since 2019).

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About Northeast Valley Health Corporation NPPES

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

NORTHEAST VALLEY HEALTH CORPORATION (NPI 1154510139) is a healthcare organization registered as a federally qualified health center (fqhc) in San Fernando, California and active in the NPI registry since October 2007. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1154510139

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION

Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328

Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031

Phone(818) 898-1388

Fax(818) 365-4031

Organization SubpartNo

Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388

Enumeration DateOctober 16, 2007

Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1154510139 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

1172 N MACLAY AVE, San Fernando, CA 91340

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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 20

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

VICTORIA CURTIN LCSW

Social Worker (Clinical)