LIFE TREE COMMUNITY HEALTH CENTER, INC.
NPI 1386413888
Clinic/Center - Community Health in Van Nuys, CA

Active since December 26, 2023CLIA 05D2314617 · Waiver
13750 VICTORY BLVD, VAN NUYS, CA 91401(818) 486-6600 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Tree Community Health Center, Inc. NPPES

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

LIFE TREE COMMUNITY HEALTH CENTER, INC. (NPI 1386413888) is a healthcare organization registered as a community health in Van Nuys, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through November 21, 2026 and lists Hasmik Tovmasyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386413888
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLIFE TREE COMMUNITY HEALTH CENTER, INC.
Location Address13750 VICTORY BLVDVan Nuys, CA 91401-2324
Mailing Address13750 Victory BlvdVan Nuys, CA 91401-2324 · (818) 486-6600
Organization SubpartNo
Authorized OfficialHasmik TovmasyanCeo · (818) 486-6600
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1386413888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
13750 VICTORY BLVD, Van Nuys, CA 91401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Tree Community Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Life Tree Community Health Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Family Practice
NPI 1811151681
421 E ANGELENO AVE SUITE 102
Burbank, CA 91501
(818) 845-6800
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1043059769
425 N JACKSON ST APT 7
Glendale, CA 91206
(818) 636-4770
✔ PECOS11 mi
Family Practice
NPI 1023695814
560 W MAIN ST STE C
Alhambra, CA 91801
(840) 465-2899
✔ PECOS19 mi
General Practice
NPI 1356414262
3737 MARTIN LUTHER KING JR BLVD STE 404
Lynwood, CA 90262
(310) 608-3600
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1073681623
14560 MAGNOLIA ST STE 101
Westminster, CA 92683
(714) 889-7041
✔ PECOS✔ Accepts Medicare40 mi
General Practice
NPI 1215100490
303 N EAST ST STE 2
Anaheim, CA 92805
(714) 458-6293
✔ PECOS✔ Accepts Medicare51 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2314617

Life Tree Community Health Center Inc · Van Nuys, CA
Active · expires Nov 21, 2026
CLIA Number05D2314617
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 22, 2024
Certificate Expiration DateNovember 21, 2026
Laboratory DirectorShi Tang
Laboratory Phone(818) 809-2437
Laboratory LocationLife Tree Community Health Center Inc13750 Victory Blvd, Van Nuys, CA 91401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Life Tree Community Health Center, Inc.'s NPI number?

The NPI number for Life Tree Community Health Center, Inc. is 1386413888. It was assigned to this organization in the NPPES registry on December 26, 2023.

Where is Life Tree Community Health Center, Inc. located?

Life Tree Community Health Center, Inc. is located at 13750 Victory Blvd, Van Nuys, CA 91401. The listed phone number is (818) 486-6600.

What is Life Tree Community Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Life Tree Community Health Center, Inc. enrolled in Medicare?

Yes. Life Tree Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Tree Community Health Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Life Tree Community Health Center, Inc., in Family Practice, General Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Life Tree Community Health Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314617) is associated with this NPI, valid through November 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Tree Community Health Center, Inc. was last updated on December 26, 2023. 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.