SERRA COMMUNITY MEDICAL CLINIC, INC.
NPI 1477134302
Internal Medicine in Pacoima, CA
About Serra Community Medical Clinic, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERRA COMMUNITY MEDICAL CLINIC, INC. (NPI 1477134302), doing business as Serra Community Medical Clinic- Pacoima, is a healthcare organization registered as an internal medicine in Pacoima, California and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Janakammal S Durairaj, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serra Community Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Serra Community Medical Clinic, Inc., which bills Medicare for the services they deliver. Of these, 23 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 20
Nearest to this location (20)
See all 48Source: 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 05D2228243
Serra Community Medical Clinic, Inc Pacoima Office · Pacoima, 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 Serra Community Medical Clinic, Inc.'s NPI number?
The NPI number for Serra Community Medical Clinic, Inc. is 1477134302. It was assigned to this organization in the NPPES registry on April 21, 2021. The provider is doing business as Serra Community Medical Clinic- Pacoima.
Where is Serra Community Medical Clinic, Inc. located?
Serra Community Medical Clinic, Inc. is located at 10641 San Fernando Rd Fl 2, Pacoima, CA 91331. The listed phone number is (818) 504-4700.
What is Serra Community Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Serra Community Medical Clinic, Inc. enrolled in Medicare?
Yes. Serra Community Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Serra Community Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 20 Medicare specialties reassign their Medicare billing to Serra Community Medical Clinic, Inc.. 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. The largest specialties are Internal Medicine (9), Nurse Practitioner (8) and Ophthalmology (5). Of these, 23 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Serra Community Medical Clinic, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2228243) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Serra Community Medical Clinic, Inc. was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Serra Community Medical Clinic, Inc. · NPI 1477134302
Internal Medicine organization in Pacoima, California. Organization record, active in the CMS NPPES registry since April 21, 2021.
## Identity
- **NPI:** 1477134302 (Entity type: Organization)
- **Enumerated:** April 21, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** SERRA COMMUNITY MEDICAL CLINIC- PACOIMA (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Janakammal Durairaj, CEO
## Practice location
- **Address:** 10641 SAN FERNANDO RD FL 2, Pacoima, CA 91331-2626
- **Phone:** (818) 504-4700 · **Fax:** (818) 504-4690
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 20 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (9), Nurse Practitioner (8), Ophthalmology (5); 23 practice within 10 miles; [full list](https://npiprofile.com/npi/1477134302/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 23, 2026
- **Other identifiers:** Medicaid 239FQ0GB (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477134302) · Data from the CMS NPPES public registry.