PRIME VALLEY MEDICAL CENTER INC
NPI 1427862572
Clinic/Center - Health Service in Granada Hills, CA
About Prime Valley Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIME VALLEY MEDICAL CENTER INC (NPI 1427862572) is a healthcare organization registered as a health service in Granada Hills, California and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists King Nino Diaz, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prime Valley Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Prime Valley Medical Center Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 05D2343046
Prime Valley Medical Center Inc · Granada Hills, CAFrequently 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 Prime Valley Medical Center Inc's NPI number?
The NPI number for Prime Valley Medical Center Inc is 1427862572. It was assigned to this organization in the NPPES registry on February 6, 2025.
Where is Prime Valley Medical Center Inc located?
Prime Valley Medical Center Inc is located at 17541 Chatsworth St, Granada Hills, CA 91344. The listed phone number is (909) 217-8633.
What is Prime Valley Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Prime Valley Medical Center Inc enrolled in Medicare?
Yes. Prime Valley Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prime Valley Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Prime Valley Medical Center Inc, in Emergency Medicine, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prime Valley Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2343046) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prime Valley Medical Center Inc was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Prime Valley Medical Center Inc · NPI 1427862572
Health Service organization in Granada Hills, California. Organization record, active in the CMS NPPES registry since February 6, 2025.
## Identity
- **NPI:** 1427862572 (Entity type: Organization)
- **Enumerated:** February 6, 2025
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** King Diaz, NP
## Practice location
- **Address:** 17541 CHATSWORTH ST, Granada Hills, CA 91344-5720
- **Phone:** (909) 217-8633
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (2), Emergency Medicine (1), Internal Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 6, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427862572) · Data from the CMS NPPES public registry.