NORTHEAST VALLEY HEALTH CORPORATION
NPI 1558693655
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Clarita, CA

Q: What is Northeast Valley Health Corporation's NPI number?

The NPI number for Northeast Valley Health Corporation is 1558693655. It was assigned to this organization in the NPPES registry on February 1, 2010.

Q: 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.

Active since February 01, 2010

18533 SOLEDAD CANYON RD, SANTA CLARITA, CA 91351(661) 287-1551 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2022, Jun 13, 2019 (2 updates tracked since 2019).

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About Northeast Valley Health Corporation NPPES

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

NORTHEAST VALLEY HEALTH CORPORATION (NPI 1558693655) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Clarita, California and active in the NPI registry since February 2010. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1558693655

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION

Location Address18533 SOLEDAD CANYON RDSanta Clarita, CA 91351-3722

Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 365-4031

Phone(661) 287-1551

Organization SubpartNo

Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388

Enumeration DateFebruary 1, 2010

Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1558693655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

18533 SOLEDAD CANYON RD, Santa Clarita, CA 91351

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Other Identifiers 1

Other551846CA · Medicare Provider Number

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) 05D2011001

Northeast Valley Health Corporation-Santa Clarita · Santa Clarita, CA

Expired · Aug 9, 2026

CLIA Number05D2011001

Laboratory TypeCommunity Clinic

Certificate Effective DateAugust 10, 2024

Certificate Expiration DateAugust 9, 2026

Laboratory DirectorGina Johnson, MD

Laboratory Phone(661) 673-8800

Laboratory LocationNortheast Valley Health Corporation-Santa Clarita18533 Soledad Canyon Road, Santa Clarita, CA 91351

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.

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.

DELARAM DANAEI MD

Family Medicine