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NORTHEAST VALLEY HEALTH CORPORATION
NPI 1447437462
Clinic/Center - Medical Specialty in Pacoima, CA

Active since January 22, 2008
12756 VAN NUYS BOULEVARD, PACOIMA, CA 91331(818) 896-0531(818) 896-5850 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 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 1447437462) is a healthcare organization registered as a medical specialty in Pacoima, California and active in the NPI registry since January 2008. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1447437462
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address12756 VAN NUYS BOULEVARDPacoima, CA 91331
Mailing Address1172 N. Maclay Ave.San Fernando, CA 91340 · (818) 898-1388 · Fax (818) 365-4031
Phone(818) 896-0531
Fax(818) 896-5850
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateJanuary 22, 2008
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1447437462 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 · 960000189
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
12756 VAN NUYS BOULEVARD, Pacoima, CA 91331
Open in Google Maps ↗

Other Identifiers 1

OtherBCP11838FCA · 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

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)
12756 VAN NUYS BOULEVARD
PACOIMA, CA 91331
Los Angeles County (818) 896-0531

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 1447437462. 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 12756 Van Nuys Boulevard, Pacoima, CA 91331. The listed phone number is (818) 896-0531.

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 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.