SCV LEGACY INC
NPI 1235984956
Nurse Practitioner - Acute Care in Valencia, CA

Active since April 18, 2024
24118 TANGO DR, VALENCIA, CA 91354(805) 607-3627 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Scv Legacy Inc NPPES

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

SCV LEGACY INC (NPI 1235984956) is a healthcare organization registered as an acute care in Valencia, California and active in the NPI registry since April 2024. The organization lists Dondae Cabreta Pangilinan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235984956
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameSCV LEGACY INC
Location Address24118 TANGO DRValencia, CA 91354-1567
Mailing Address24118 Tango DrValencia, CA 91354-1567 · (805) 607-3627
Organization SubpartNo
Authorized OfficialDondae Cabreta PangilinanCeo · (805) 607-3627
Enumeration DateApril 18, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1235984956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
24118 TANGO DR, Valencia, CA 91354

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scv Legacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Scv Legacy Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1861142028
15031 RINALDI ST
Mission Hills, CA 91345
(818) 365-8051
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1659624948
4050 AIRPORT CENTER DR STE B2
Palm Springs, CA 92264
(760) 674-7188
✔ PECOS126 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Scv Legacy Inc's NPI number?

The NPI number for Scv Legacy Inc is 1235984956. It was assigned to this organization in the NPPES registry on April 18, 2024.

Where is Scv Legacy Inc located?

Scv Legacy Inc is located at 24118 Tango Dr, Valencia, CA 91354. The listed phone number is (805) 607-3627.

What is Scv Legacy Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Scv Legacy Inc enrolled in Medicare?

Yes. Scv Legacy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scv Legacy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Scv Legacy Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scv Legacy Inc was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.