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SYLMAR MEDICAL CENTER
NPI 1790716447
Clinic/Center - Primary Care in Sylmar, CA

Active since July 05, 2006CLIA 05D0558608 · Waiver
14124 FOOTHILL BLVD, STE 100, SYLMAR, CA 91342(818) 367-1012(818) 367-7570 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Feb 18, 2020 (2 updates tracked since 2020).

About Sylmar Medical Center NPPES

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

SYLMAR MEDICAL CENTER (NPI 1790716447) is a healthcare organization registered as a primary care in Sylmar, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Basem Fanous, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790716447
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHERBERT S RADLEY MD & HAROLD M COHEN MD MEDICAL CORPORATION
Location Address14124 FOOTHILL BLVD, STE 100Sylmar, CA 91342-8049
Mailing Address14124 Foothill Blvd, Ste 100Sylmar, CA 91342-8049 · (818) 367-1012 · Fax (818) 367-7570
Phone(818) 367-1012
Fax(818) 367-7570
Organization SubpartNo
Authorized OfficialBasem FanousCfo · (818) 367-1012
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2020
✔ NPI 1790716447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
14124 FOOTHILL BLVD, Sylmar, CA 91342
Open in Google Maps ↗

Other Names 1

Doing Business AsSylmar Medical Center

Other Identifiers 1

MedicaidZZZ70244ZCA

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 05D0558608

Sylmar Medical Center · Sylmar, CA
Active · expires Apr 4, 2028
CLIA Number05D0558608
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBasem Fanous MD
Laboratory Phone(818) 367-1012
Laboratory LocationSylmar Medical Center14124 Foothill Blvd Ste 100, Sylmar, CA 91342
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 20

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

TRANG TRAN PHARMD
Pharmacist
14124 FOOTHILL BLVD, #102
SYLMAR, CA 91342
Los Angeles County (818) 364-5100
ROBERT NATHAN TITCHER MD
Internal Medicine
14124 FOOTHILL BLVD, SUITE 100
SYLMAR, CA 91342
Los Angeles County (818) 367-1012
OLGA SUE ALZOGARAL PHARM TECH
Pharmacy Technician
14124 FOOTHILL BLVD
SYLMAR, CA 91342
Los Angeles County (818) 367-5939
DR. TRIEU LONG VO DPM
Podiatrist (Primary Podiatric Medicine)
14124 FOOTHILL BLVD, STE 100
SYLMAR, CA 91342
Los Angeles County (818) 367-1012
JEB SYDEJKO RPH, PHARM D, JD
Pharmacist
14124 FOOTHILL BLVD
SYLMAR, CA 91342
Los Angeles County (818) 367-5939
CHRISTINA ALVAREZ PHARM TECH
Pharmacy Technician
14124 FOOTHILL BLVD
SYLMAR, CA 91342
Los Angeles County (818) 367-5939
SAUK, MIN M.D.
Surgery
14124 FOOTHILL BLVD
SYLMAR, CA 91342
Los Angeles County (818) 367-1012
DR. TED DOUGLAS DARDEN MD
Family Medicine
14124 FOOTHILL BLVD, SUITE 100
SYLMAR, CA 91342
Los Angeles County (818) 367-1012

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 Herbert S Radley MD & Harold M Cohen MD Medical Corporation's NPI number?

The NPI number for Herbert S Radley MD & Harold M Cohen MD Medical Corporation is 1790716447. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Sylmar Medical Center.

Where is Herbert S Radley MD & Harold M Cohen MD Medical Corporation located?

Herbert S Radley MD & Harold M Cohen MD Medical Corporation is located at 14124 Foothill Blvd Ste 100, Sylmar, CA 91342. The listed phone number is (818) 367-1012.

What is Herbert S Radley MD & Harold M Cohen MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Herbert S Radley MD & Harold M Cohen MD Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0558608) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Herbert S Radley MD & Harold M Cohen MD Medical Corporation was last updated on July 21, 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.