DIGNITY HEALTH MEDICAL GROUP - NORTHRIDGE, A SERVICE OF DIGNITY HEALTH
NPI 1508222647
Clinic/Center - Multi-Specialty in Northridge, CA

Active since January 05, 2016CLIA Certified · 2 labs
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325(818) 885-5480 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dignity Health Medical Group - Northridge, A Service Of Dignity Health NPPES

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

DIGNITY HEALTH MEDICAL GROUP - NORTHRIDGE, A SERVICE OF DIGNITY HEALTH (NPI 1508222647) is a healthcare organization registered as a multi-specialty in Northridge, California and active in the NPI registry since January 2016. The organization holds 2 active CLIA laboratory certificates and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1508222647
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address18406 ROSCOE BLVDNorthridge, CA 91325-4107
Mailing Address3400 Data Dr, 1st FloorRancho Cordova, CA 95670-7956 · (916) 379-2726 · Fax (916) 853-7874
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateJanuary 5, 2016
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1508222647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
18406 ROSCOE BLVD, Northridge, CA 91325

Other Names 1

Doing Business AsDignity Health Medical Group - Northridge, A Service Of Dignity Health

Other Identifiers 1

Other383981523CA · Irs

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dignity Health Medical Group - Northridge, A Service Of Dignity Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,178

Medicare enrollment records show 1,178 clinicians reassign Medicare billing to Dignity Health Medical Group - Northridge, A Service Of Dignity Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Family Practice169
Hospitalist135
Nurse Practitioner126
Internal Medicine98
Diagnostic Radiology93
Obstetrics/Gynecology50
Pediatric Medicine43
General Surgery28
54 other specialties436

Nearest to this location (20)

See all 1,178
Hospitalist
NPI 1093163222
18406 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1780767814
18406 ROSCOE BLVD STE A
Northridge, CA 91325
(818) 700-5678
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1861551541
18406 ROSCOE BLVD STE A
Northridge, CA 91325
(818) 700-5678
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356389274
18406 ROSCOE BLVD
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1083717391
18406 ROSCOE BLVD NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP INC
Northridge, CA 91325
(818) 885-8500
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417059510
18406 ROSCOE BLVD NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1346569191
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1922748912
18300 ROSCOE BLVD
Northridge, CA 91325
(818) 717-8261
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1154862373
18460 ROSCOE BLVD FL 2
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1306058151
18460 ROSCOE BLVD FL 2
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1215639422
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1821413899
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1497811400
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1215318753
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1710680228
18460 ROSCOE BLVD FL 2
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1356701890
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1801168471
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Physical Medicine and Rehabilitation
NPI 1972946747
18460 ROSCOE BLVD FL 2
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1770929374
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ PECOS✔ Accepts Medicare0.1 mi
Registered Dietitian or Nutrition Professional
NPI 1609670249
18460 ROSCOE BLVD FL 3
Northridge, CA 91325
(818) 885-5480
✔ Accepts Medicare0.1 mi
See all 1,178 clinicians

Source: 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 2

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) 05D2204634

Dignity Health Medical Foundation · Northridge, CA
Active · expires Oct 21, 2027
CLIA Number05D2204634
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorLisbeth H. Chang
Laboratory Phone(916) 379-2861
Laboratory LocationDignity Health Medical Foundation18406 Roscoe Blvd, Ste A, Northridge, CA 91325
CLIA data matches this NPI record on: Address Name
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0919824

Dignity Health Medical Foundation · Northridge, CA
Active · expires Apr 28, 2028
CLIA Number05D0919824
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorChristopher D. Kuhlman
Laboratory Phone(916) 851-2462
Laboratory LocationDignity Health Medical Foundation18460 Roscoe Blvd, Northridge, CA 91325
CLIA data matches this NPI record on: Name
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.

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 Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1508222647. It was assigned to this organization in the NPPES registry on January 5, 2016. The provider is doing business as Dignity Health Medical Group - Northridge, A Service Of Dignity Health.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 18406 Roscoe Blvd, Northridge, CA 91325. The listed phone number is (818) 885-5480.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Dignity Health Medical Foundation enrolled in Medicare?

Yes. Dignity Health Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dignity Health Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,178 clinicians in 62 Medicare specialties reassign their Medicare billing to Dignity Health Medical Foundation. 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 Family Practice (169), Hospitalist (135) and Nurse Practitioner (126). Of these, 6 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dignity Health Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.