NORTHEAST VALLEY HEALTH CORPORATION
NPI 1679332647
Clinic/Center - Federally Qualified Health Center (FQHC) in San Fernando, CA

Active since March 13, 2024
1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 898-1388(818) 270-9585 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northeast Valley Health Corporation NPPES

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

NORTHEAST VALLEY HEALTH CORPORATION (NPI 1679332647), doing business as Mobile Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in San Fernando, California and active in the NPI registry since March 2024. The organization lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1679332647
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION
Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328
Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 270-9585
Fax(818) 270-9585
Organization SubpartNo
Authorized OfficialKimberly WyardChief Executive Officer · (818) 898-1388
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1679332647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1172 N MACLAY AVE, San Fernando, CA 91340

Other Names 1

Doing Business AsMobile Health Center

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.

Social Worker (Clinical)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Registered Nurse
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Clinic/Center (Federally Qualified Health Center (FQHC))
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Marriage & Family Therapist
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Pediatrics
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340

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 1679332647. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as Mobile Health Center.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 1172 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 898-1388.

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 March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.