NORTHEAST VALLEY HEALTH CORPORATION
NPI 1497932396
Clinic/Center - Federally Qualified Health Center (FQHC) in Canoga Park, CA

Active since January 23, 2008CLIA 05D0907855 · Microscopy
7107 REMMET AVE, CANOGA PARK, CA 91303(818) 340-3570(818) 702-9578 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1497932396) is a healthcare organization registered as a federally qualified health center (fqhc) in Canoga Park, California and active in the NPI registry since January 2008. The organization holds a CLIA Microscopy certificate valid through October 23, 2027 and lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1497932396
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address7107 REMMET AVECanoga Park, CA 91303
Mailing Address1172 N. Maclay Ave.San Fernando, CA 91340 · (818) 898-1388 · Fax (818) 365-4031
Fax(818) 702-9578
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateJanuary 23, 2008
Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
NPI 1497932396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X · License 960000963 (CA)
7107 REMMET AVE, Canoga Park, CA 91303

Other Identifiers 1

OtherHAP70652FCA · Family Pact

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0907855

Northeast Valley Health Corporation- Lac-Canoga Park Health Center · Canoga Park, CA
Active · expires Oct 23, 2027
CLIA Number05D0907855
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 24, 2025
Certificate Expiration DateOctober 23, 2027
Laboratory DirectorElisha L. Featherstone
Laboratory Phone(818) 340-3570
Laboratory LocationNortheast Valley Health Corporation- Lac-Canoga Park Health Center7107 Remmet Avenue, Canoga Park, CA 91303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

Pediatrics (Adolescent Medicine)
7107 REMMET AVE
CANOGA PARK, CA 91303
Family Medicine
7107 REMMET AVE
CANOGA PARK, CA 91303
Pediatrics
7107 REMMET AVE
CANOGA PARK, CA 91303
Clinic/Center (Federally Qualified Health Center (FQHC))
7107 REMMET AVE
CANOGA PARK, CA 91303
Pediatrics
7107 REMMET AVE
CANOGA PARK, CA 91303
Clinic/Center (Federally Qualified Health Center (FQHC))
7107 REMMET AVE
CANOGA PARK, CA 91303
Nurse Practitioner (Women's Health)
7107 REMMET AVE
CANOGA PARK, CA 91303

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 1497932396. It was assigned to this organization in the NPPES registry on January 23, 2008.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 7107 Remmet Ave, Canoga Park, CA 91303. The listed phone number is (818) 340-3570.

What is Northeast Valley Health Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northeast Valley Health Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0907855) is associated with this NPI, valid through October 23, 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 Northeast Valley Health Corporation was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.