TRANSITIONS TO WELLNESS-VAN NUYS HEALTH CENTER
NPI 1184625568
Clinic/Center - Federally Qualified Health Center (FQHC) in Van Nuys, CA
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D2128414
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-28-2027
About TRANSITIONS TO WELLNESS-VAN NUYS HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Transitions To Wellness-van Nuys Health Center, a primary care provider established in Van Nuys, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1184625568 assigned on August 2005. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Transitions To Wellness-van Nuys Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Transitions To Wellness-van Nuys Health Center. The authorized official of this NPI record is Mrs. Kimberly Wyard (Chief Executive Officer)
- NPI
- 1184625568 Verify this NPI
- Provider Legal Name
- NORTHEAST VALLEY HEALTH CORPORATION
- Other Organization Name
- TRANSITIONS TO WELLNESS-VAN NUYS HEALTH CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6551 VAN NUYS BLVD FL 2 VAN NUYS, CA 91401
- Location Phone
- (818) 765-8656
- Location Fax
- (818) 765-6982
- Mailing Address
- 1172 N MACLAY AVE SAN FERNANDO, CA 91340
- Mailing Phone
- (818) 898-1388
- Mailing Fax
- (818) 270-9585
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2005
- Last Update Date
- 02-22-2022
- Code Navigator
A primary care provider (PCP) like Transitions To Wellness-van Nuys Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| W14819D | OTHER (01) | MIN | |
| CB204579 | OTHER (01) | CA | MEDICARE PART B |
| FHC70582F | OTHER (01) | CA | MEDI-CAL |
| 05-1086 | OTHER (01) | CA | MEDICARE PART A |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2128414
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 29, 2025
- Certificate Expiration Date
- March 28, 2027
- Laboratory Director
- ALICIA LWIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Transitions To Wellness-van Nuys Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
VAN NUYS, CA 91401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184625568, enumerated as an "organization" on August 09, 2005.
The provider is located at 6551 VAN NUYS BLVD FL 2 VAN NUYS, CA 91401 and the phone number is (818) 765-8656.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
The provider might be accepting Accepts: Medicare, Medicaid and California Medicaid. Please consult your insurance carrier or call the provider to verify.
