SAN FERNANDO COMMUNITY HEALTH CENTER
NPI 1245669555
Clinic/Center - Primary Care in San Fernando, CA

Active since November 06, 2013
732 MOTT ST, SUITE 100, SAN FERNANDO, CA 91340(818) 963-5690(818) 365-0726 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2020, Dec 7, 2017 (2 updates tracked since 2017).

About San Fernando Community Health Center NPPES

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

SAN FERNANDO COMMUNITY HEALTH CENTER (NPI 1245669555) is a healthcare organization registered as a primary care in San Fernando, California and active in the NPI registry since November 2013. The organization lists Audrey L. Simons, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1245669555
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSAN FERNANDO COMMUNITY HOSPITAL
Location Address732 MOTT ST, SUITE 100San Fernando, CA 91340-4237
Mailing Address732 Mott St, Suite 100San Fernando, CA 91340-4237 · (818) 963-5690 · Fax (818) 365-0726
Fax(818) 365-0726
Organization SubpartNo
Authorized OfficialAudrey L. SimonsChief Executive Officer · (818) 365-5059
Enumeration DateNovember 6, 2013
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1245669555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A14847 (CA)
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X · License A48255 (CA)
732 MOTT ST, San Fernando, CA 91340

Other Names 1

Doing Business AsSan Fernando Community Health Center

Other Identifiers 1

Medicaid4640840CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Fernando Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to San Fernando Community Health Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1285868828
732 MOTT ST STE 100
San Fernando, CA 91340
(951) 784-0018
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508307745
732 MOTT ST STE 100-110
San Fernando, CA 91340
(818) 963-5690
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801200613
732 MOTT ST # 100-110
San Fernando, CA 91340
(818) 963-5690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942700232
732 MOTT ST # 100110
San Fernando, CA 91340
(818) 963-5690
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1376982835
732 MOTT ST # 100-110
San Fernando, CA 91340
(818) 963-5690
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235276940
405 N MACLAY AVE SUITE 104
San Fernando, CA 91340
(818) 361-3318
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1366204083
21712 DOSS PL
Santa Clarita, CA 91350
(323) 595-5311
✔ PECOS✔ Accepts Medicare10 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 San Fernando Community Hospital's NPI number?

The NPI number for San Fernando Community Hospital is 1245669555. It was assigned to this organization in the NPPES registry on November 6, 2013. The provider is doing business as San Fernando Community Health Center.

Where is San Fernando Community Hospital located?

San Fernando Community Hospital is located at 732 Mott St Suite 100, San Fernando, CA 91340. The listed phone number is (818) 963-5690.

What is San Fernando Community Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is San Fernando Community Hospital enrolled in Medicare?

Yes. San Fernando Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Fernando Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to San Fernando Community Hospital. 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. The largest specialties are Nurse Practitioner (4), Family Practice (2) and Clinical Social Worker (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Fernando Community Hospital was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.