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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: August 02, 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
Phone(818) 885-5480
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
Open in Google Maps ↗

Other Names 1

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

Other Identifiers 1

Other383981523CA · Irs

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.

Other Providers at the Same Location NPPES 20

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

REBECCA CHO
Family Medicine
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-4054
RICHARD V STRINGHAM MD
Family Medicine
18406 ROSCOE BLVD, NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP INC
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
HWE-SEUNG LUCY WHANG LEE MD
Family Medicine
18406 ROSCOE BLVD, NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP INC
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
DR. DANIEL DAVID GHALCHI M.D.
Family Medicine
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
JEFFREY CHINWEI WANG D.O.
Family Medicine
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
DR. SANDHYA SUDHIR PATHARE MD
Student in an Organized Health Care Education/Training Program
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-5480
JONATHAN UTULO
Student in an Organized Health Care Education/Training Program
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 885-8500
DR. MONIKA LEE D.O.
Family Medicine (Adult Medicine)
18406 ROSCOE BLVD
NORTHRIDGE, CA 91325
Los Angeles County (818) 993-4054

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.

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.