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CANBY COMMUNITY CLINIC INC
NPI 1518686377
Clinic/Center in Reseda, CA

Active since August 24, 2022CLIA 05D2314757 · Waiver
7601 CANBY AVE, RESEDA, CA 91335(818) 383-9383 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Apr 28, 2024, Apr 5, 2024 and 1 more (4 updates tracked since 2022).

About Canby Community Clinic Inc NPPES

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

CANBY COMMUNITY CLINIC INC (NPI 1518686377), doing business as Pura Vida Community Clinic, is a healthcare organization registered as a clinic/center in Reseda, California and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Jenny Nver Avetisyan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518686377
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCANBY COMMUNITY CLINIC INC
Location Address7601 CANBY AVEReseda, CA 91335-2953
Mailing Address7601 Canby Ave, Unit 6bReseda, CA 91335-2953 · (818) 383-9383
Phone(818) 383-9383
Organization SubpartNo
Authorized OfficialJenny Nver AvetisyanCeo · (818) 674-4414
Enumeration DateAugust 24, 2022
Last NPPES UpdateDecember 5, 20254 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1518686377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
7601 CANBY AVE, Reseda, CA 91335
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Other Names 1

Doing Business AsPura Vida Community Clinic

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 05D2314757

Canby Community Clinic, Inc · Reseda, CA
Active · expires Nov 25, 2026
CLIA Number05D2314757
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorChase C. Cho
Laboratory Phone(818) 674-4414
Laboratory LocationCanby Community Clinic, Inc7601 Canby Ave Unit 6B, Reseda, CA 91335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

ELIZABETH RUTH CABALLERO
Nurse Practitioner
7601 CANBY AVE
RESEDA, CA 91335
Los Angeles County (818) 814-3936
PROGRESS MEDICAL CLINIC INC
Internal Medicine
7601 CANBY AVE, SUITE #7
RESEDA, CA 91335
Los Angeles County (818) 757-1919
VANESSA BERMUDEZ
Social Worker (Clinical)
7601 CANBY AVE
RESEDA, CA 91335
Los Angeles County (818) 921-3466
ALLA RAPOPORT D.D.S.
Dentist (General Practice)
7601 CANBY AVE, SUITE 4
RESEDA, CA 91335
Los Angeles County (818) 774-9933
SVETLANA BARANOVSKY M.D.
Internal Medicine
7601 CANBY AVE, SUITE 7
RESEDA, CA 91335
Los Angeles County (818) 757-1919
PULSAR PORTABLE X-RAY AND MEDICAL SERVICES
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
7601 CANBY AVE, SUITE 7
RESEDA, CA 91335
Los Angeles County (818) 757-1919

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 Canby Community Clinic Inc's NPI number?

The NPI number for Canby Community Clinic Inc is 1518686377. It was assigned to this organization in the NPPES registry on August 24, 2022. The provider is doing business as Pura Vida Community Clinic.

Where is Canby Community Clinic Inc located?

Canby Community Clinic Inc is located at 7601 Canby Ave, Reseda, CA 91335. The listed phone number is (818) 383-9383.

What is Canby Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Canby Community Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314757) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canby Community Clinic Inc was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.