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SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
NPI 1174224240
Clinic/Center - Federally Qualified Health Center (FQHC) in Van Nuys, CA

Active since March 15, 2023CLIA Certified · 4 labs
14550 HAYNES ST, VAN NUYS, CA 91411(818) 421-0809 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Mar 15, 2023 (2 updates tracked since 2023).

About Southern California Medical Center, Inc. NPPES

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

SOUTHERN CALIFORNIA MEDICAL CENTER, INC. (NPI 1174224240) is a healthcare organization registered as a federally qualified health center (fqhc) in Van Nuys, California and active in the NPI registry since March 2023. The organization holds 4 active CLIA laboratory certificates and lists Ellie Zare, Sr. Program Manger, as its authorized official.

NPPES Registry Identity

NPI1174224240
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Location Address14550 HAYNES STVan Nuys, CA 91411-1613
Mailing AddressPo Box 436Van Nuys, CA 91408-0436 · (818) 421-0809
Phone(818) 421-0809
Organization SubpartNo
Authorized OfficialEllie ZareSr. Program Manger · (818) 650-6700
Enumeration DateMarch 15, 2023
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1174224240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
14550 HAYNES ST, Van Nuys, CA 91411
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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

CLIA Laboratory Certificates CMS CLIA 4

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 05D2128955

Southern California Medical Center- Van Nuys · Van Nuys, CA
Active · expires Apr 9, 2027
CLIA Number05D2128955
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorAllen Hassen
Laboratory Phone(818) 421-0809
Laboratory LocationSouthern California Medical Center- Van Nuys14550 Haynes Street, Van Nuys, CA 91411
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 05D2222420

Southern California Medical Center Long Beach · Long Beach, CA
Active · expires Apr 28, 2027
CLIA Number05D2222420
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorAllen Hassen
Laboratory Phone(818) 421-0809
Laboratory LocationSouthern California Medical Center Long Beach1627 E Anaheim St, Long Beach, CA 90813
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1090968

Southern California Medical Center, Inc Pico Rivera · Pico Rivera, CA
Active · expires Oct 21, 2026
CLIA Number05D1090968
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorDr. Allen Hassen
Laboratory Phone(818) 421-0809
Laboratory LocationSouthern California Medical Center, Inc Pico Rivera8825 Whittier Blvd, Pico Rivera, CA 90660
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2310698

Southern California Medical Center, Inc -Woodland Hills · Woodland Hills, CA
Active · expires Sep 8, 2026
CLIA Number05D2310698
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 9, 2024
Certificate Expiration DateSeptember 8, 2026
Laboratory DirectorAllen Hassen
Laboratory Phone(818) 421-0809
Laboratory LocationSouthern California Medical Center, Inc -Woodland Hills20011 Woodland Blvd #1002, Woodland Hills, CA 91364
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 15

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

MRS. ELIANA RUELAS-PEREZ MSW, LCSW
Social Worker (Clinical)
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (818) 650-6700
DR. MOHAMMAD H RASEKHI M.D.
Internal Medicine
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (818) 650-6700
ARAM BONNI M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (657) 888-3008
JOSEPH SINAIRAD DDS INC
Dentist (General Practice)
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (818) 780-7555
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Clinic/Center (Community Health)
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (818) 650-6700
VITA CARE, INC.
Pharmacy (Community/Retail Pharmacy)
14550 HAYNES ST, SUITE 200A
VAN NUYS, CA 91411
Los Angeles County (818) 650-6799
ALDRINE ALBA ADRANEDA DNP
Nurse Practitioner (Family)
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (818) 650-6700
NATALIE HUBBARD
Student in an Organized Health Care Education/Training Program
14550 HAYNES ST
VAN NUYS, CA 91411
Los Angeles County (925) 270-6864

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 Southern California Medical Center, Inc.'s NPI number?

The NPI number for Southern California Medical Center, Inc. is 1174224240. It was assigned to this organization in the NPPES registry on March 15, 2023.

Where is Southern California Medical Center, Inc. located?

Southern California Medical Center, Inc. is located at 14550 Haynes St, Van Nuys, CA 91411. The listed phone number is (818) 421-0809.

What is Southern California Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southern California Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 4 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 Southern California Medical Center, Inc. was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.