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NORTHEAST VALLEY HEALTH CORPORATION
NPI 1346427366
Clinic/Center - Medical Specialty in San Fernando, CA

Active since January 22, 2008
1600 SAN FERNANDO ROAD, SAN FERNANDO, CA 91340(818) 365-8086(818) 898-4826 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2022, Jun 13, 2019 (2 updates tracked since 2019).

About Northeast Valley Health Corporation NPPES

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

NORTHEAST VALLEY HEALTH CORPORATION (NPI 1346427366) is a healthcare organization registered as a medical specialty in San Fernando, California and active in the NPI registry since January 2008. The organization lists Kimberly Wyard, Cheif Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1346427366
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address1600 SAN FERNANDO ROADSan Fernando, CA 91340
Mailing Address1172 N. Maclay Ave.San Fernando, CA 91340 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 365-8086
Fax(818) 898-4826
Organization SubpartNo
Authorized OfficialKimberly WyardCheif Executive Officer · (818) 898-1388
Enumeration DateJanuary 22, 2008
Last NPPES UpdateFebruary 22, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2022
✔ NPI 1346427366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · 960000124
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
1600 SAN FERNANDO ROAD, San Fernando, CA 91340
Open in Google Maps ↗

Other Identifiers 1

OtherBCP11580FCA · Cancer Detection Program

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

Other Providers at the Same Location NPPES 3

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

NORTHEAST VALLEY HEALTH CORPORATION
Clinic/Center (Family Planning, Non-Surgical)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MRS. ROWENA REYES ALCANTARA-FERNANDEZ N.P.
Nurse Practitioner (Family)
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086
MICHAEL S. WALLACK M.D.
Internal Medicine
1600 SAN FERNANDO ROAD
SAN FERNANDO, CA 91340
Los Angeles County (818) 365-8086

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 Northeast Valley Health Corporation's NPI number?

The NPI number for Northeast Valley Health Corporation is 1346427366. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 1600 San Fernando Road, San Fernando, CA 91340. The listed phone number is (818) 365-8086.

What is Northeast Valley Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Northeast Valley Health Corporation was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.