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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SERRA COMMUNITY MEDICAL CLINIC, INC.
NPI 1477134302
Internal Medicine in Pacoima, CA

Active since April 21, 2021CLIA 05D2228243 · Waiver
10641 SAN FERNANDO RD FL 2, PACOIMA, CA 91331(818) 504-4700(818) 504-4690 Get Directions Write a Review

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

Record update history: Jul 23, 2026, Apr 21, 2021 (2 updates tracked since 2021).

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

NPI1477134302
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSERRA COMMUNITY MEDICAL CLINIC, INC.
Location Address10641 SAN FERNANDO RD FL 2Pacoima, CA 91331-2626
Mailing Address9375 San Fernando RdSun Valley, CA 91352-1418 · (818) 504-4700 · Fax (818) 504-4690
Phone(818) 504-4700
Fax(818) 504-4690
Organization SubpartNo
Authorized OfficialJanakammal S DurairajCeo · (818) 504-4700
Enumeration DateApril 21, 2021
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1477134302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
10641 SAN FERNANDO RD FL 2, Pacoima, CA 91331
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Other Names 1

Doing Business AsSerra Community Medical Clinic- Pacoima

Other Identifiers 1

Medicaid239FQ0GBCA

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

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, CA
Active · expires Jun 22, 2027
CLIA Number05D2228243
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorVinaya Vr Keesara
Laboratory Phone(818) 485-5775
Laboratory LocationSerra Community Medical Clinic, Inc Pacoima Office10641 San Fernando Road, Pacoima, CA 91331
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 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.

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 with the weekly NPPES data releases published by CMS.