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VAN NUYS ADULT HEALTH CENTER
NPI 1629079009
Clinic/Center - Federally Qualified Health Center (FQHC) in Van Nuys, CA

Active since August 09, 2005
14624 SHERMAN WAY, SUITE 600, VAN NUYS, CA 91405(818) 988-6335(818) 988-2140 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, May 10, 2017 and 1 more (4 updates tracked since 2017).

About Van Nuys Adult Health Center NPPES

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

VAN NUYS ADULT HEALTH CENTER (NPI 1629079009) is a healthcare organization registered as a federally qualified health center (fqhc) in Van Nuys, California and active in the NPI registry since August 2005. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1629079009
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address14624 SHERMAN WAY, SUITE 600Van Nuys, CA 91405-2241
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 270-9585
Phone(818) 988-6335
Fax(818) 988-2140
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 23, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2022
✔ NPI 1629079009 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
14624 SHERMAN WAY, Van Nuys, CA 91405
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Other Names 1

Doing Business AsVan Nuys Adult Health Center

Other Identifiers 1

OtherCB204579CA · Medicare Part B

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

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.

APELIAN MEDICAL INC
Family Medicine
14624 SHERMAN WAY, STE 603
VAN NUYS, CA 91405
Los Angeles County (818) 781-3110
MRS. MICHELLE MENDOZA
Student in an Organized Health Care Education/Training Program
14624 SHERMAN WAY
VAN NUYS, CA 91405
Los Angeles County (818) 908-4990
DR. GEORGE W BALFOUR M.D.
Orthopaedic Surgery (Hand Surgery)
14624 SHERMAN WAY, STE 303
VAN NUYS, CA 91405
Los Angeles County (818) 902-2800
MAYRA CORREA
Rehabilitation Practitioner
14624 SHERMAN WAY, SUITE 303
VAN NUYS, CA 91405
Los Angeles County (818) 908-4990
ETHEL ROMAN LUCERO PT
Physical Therapist
14624 SHERMAN WAY, 201
VAN NUYS, CA 91405
Los Angeles County (818) 988-8410
BALBIR SINGH M.D.
Internal Medicine (Nephrology)
14624 SHERMAN WAY, SUITE 309
VAN NUYS, CA 91405
Los Angeles County (818) 988-2190
NEW IMAGE CREATIONS, INC.
Dermatology
14624 SHERMAN WAY, SUITE 409
VAN NUYS, CA 91405
Los Angeles County (818) 782-8300
LOUELLA PECKSON, M.D., INC.
Pediatrics (Adolescent Medicine)
14624 SHERMAN WAY, SUITE 401
VAN NUYS, CA 91405
Los Angeles County (818) 786-1200

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 1629079009. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Van Nuys Adult Health Center.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 14624 Sherman Way Suite 600, Van Nuys, CA 91405. The listed phone number is (818) 988-6335.

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.

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.