SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
NPI 1255729661
Clinic/Center - Community Health in Van Nuys, CA

NPI Status: Active since January 07, 2015

Contact Information

14550 HAYNES ST
VAN NUYS, CA
ZIP 91411
Phone: (818) 650-6700
Fax: (818) 933-5038

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 05D2128955
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 04-09-2027

About SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Southern California Medical Center, Inc., a primary care provider established in Van Nuys, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1255729661 assigned on January 2015. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Southern California Medical Center, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sheila Busheri (Ceo)

NPI
1255729661
Provider Name
SOUTHERN CALIFORNIA MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
14550 HAYNES ST VAN NUYS, CA 91411
Location Phone
(818) 650-6700
Location Fax
(818) 933-5038
Mailing Address
14550 HAYNES ST FL 3 VAN NUYS, CA 91411
Mailing Phone
(818) 650-6700
Mailing Fax
(818) 933-5038
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2015
Last Update Date
11-02-2022
Code Navigator

A primary care provider (PCP) like Southern California Medical Center, Inc. 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 Community Health

Taxonomy Code
261QC1500X
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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
3261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 
4261QF0050XAmbulatory Health Care Facilities

Clinic/Center
Family Planning, Non-Surgical

 
5261QF0400XAmbulatory Health Care Facilities

Clinic/Center
Federally Qualified Health Center (FQHC)

 
6261QH0100XAmbulatory Health Care Facilities

Clinic/Center
Health Service

 
7261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
8261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
9261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 
10261QR0206XAmbulatory Health Care Facilities

Clinic/Center
Radiology, Mammography

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHEILA BUSHERI

Authorized Official Title
CEO
Authorized Official Phone
(818) 650-6700

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
05D2128955
Facility Type
Federally Qualified Health Center
Certificate Effective Date
April 10, 2025
Certificate Expiration Date
April 09, 2027
Laboratory Director
ALLEN HASSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern California Medical Center, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SOUTHERN CALIFORNIA MEDICAL CENTER, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255729661, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 4 + 2 + 1 + 8 + 6 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1255729661.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Dentist
14550 HAYNES ST, SUITE 103
VAN NUYS, CA 91411
Dentist (General Practice)
14550 HAYNES ST
VAN NUYS, CA 91411
Pharmacy (Community/Retail Pharmacy)
14550 HAYNES ST, SUITE 200A
VAN NUYS, CA 91411
Social Worker (Clinical)
14550 HAYNES ST
VAN NUYS, CA 91411
Internal Medicine (Cardiovascular Disease)
14550 HAYNES ST
VAN NUYS, CA 91411
Dentist
14550 HAYNES ST
VAN NUYS, CA 91411
Internal Medicine
14550 HAYNES ST
VAN NUYS, CA 91411
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
14550 HAYNES ST
VAN NUYS, CA 91411
Clinic/Center (Federally Qualified Health Center (FQHC))
14550 HAYNES ST
VAN NUYS, CA 91411
Dentist
14550 HAYNES ST
VAN NUYS, CA 91411
Nurse Practitioner (Family)
14550 HAYNES ST
VAN NUYS, CA 91411
Student in an Organized Health Care Education/Training Program
14550 HAYNES ST
VAN NUYS, CA 91411
Social Worker (Clinical)
14550 HAYNES ST
VAN NUYS, CA 91411
Student in an Organized Health Care Education/Training Program
14550 HAYNES ST
VAN NUYS, CA 91411
Nurse Practitioner (Family)
14550 HAYNES ST
VAN NUYS, CA 91411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255729661, enumerated as an "organization" on January 07, 2015.

The provider is located at 14550 HAYNES ST VAN NUYS, CA 91411 and the phone number is (818) 650-6700.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.