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PACOIMA PRIMARY CARE MEDICAL CLINIC
NPI 1467511592
Family Medicine in Pacoima, CA

Active since December 06, 2006
12502 VAN NUYS BLVD, 104, PACOIMA, CA 91331(818) 899-5555(818) 899-5969 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pacoima Primary Care Medical Clinic NPPES

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

PACOIMA PRIMARY CARE MEDICAL CLINIC (NPI 1467511592) is a healthcare organization registered as a family medicine in Pacoima, California and active in the NPI registry since December 2006. The organization lists Daryoush Yallya Kashani, President, as its authorized official.

NPPES Registry Identity

NPI1467511592
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEALTHY HEART MEDICAL GROUP INC
Location Address12502 VAN NUYS BLVD, 104Pacoima, CA 91331
Mailing Address18653 Ventura Blvd, 289Tarzana, CA 91356 · (818) 899-5555 · Fax (818) 899-5969
Phone(818) 899-5555
Fax(818) 899-5969
Organization SubpartNo
Authorized OfficialDaryoush Yallya KashaniPresident · (818) 899-5555
Enumeration DateDecember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467511592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12502 VAN NUYS BLVD, Pacoima, CA 91331
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Other Names 1

Doing Business AsPacoima Primary Care Medical Clinic

Other Identifiers 1

Medicaid00A666980CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

J. V. THERAPY SERVICES INC.
Clinic/Center (Physical Therapy)
12502 VAN NUYS BLVD, 107
PACOIMA, CA 91331
Los Angeles County (818) 899-5555
HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Counselor (Mental Health)
12502 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (626) 395-7100

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 Healthy Heart Medical Group Inc's NPI number?

The NPI number for Healthy Heart Medical Group Inc is 1467511592. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as Pacoima Primary Care Medical Clinic.

Where is Healthy Heart Medical Group Inc located?

Healthy Heart Medical Group Inc is located at 12502 Van Nuys Blvd 104, Pacoima, CA 91331. The listed phone number is (818) 899-5555.

What is Healthy Heart Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Healthy Heart Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.