PACOIMA WOMEN'S HEALTH CENTER
NPI 1801399860
Clinic/Center - Federally Qualified Health Center (FQHC) in Pacoima, CA

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

The NPI number for Northeast Valley Health Corporation is 1801399860. It was assigned to this organization in the NPPES registry on March 15, 2018. The provider is doing business as Pacoima Women's Health Center.

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 March 15, 2018CLIA 05D2148104 · Microscopy

12759 VAN NUYS BLVD, PACOIMA, CA 91331(818) 896-0531(818) 896-5850 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2022, Jun 13, 2019, Mar 15, 2018 (3 updates tracked since 2018).

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About Pacoima Women's Health Center NPPES

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

PACOIMA WOMEN'S HEALTH CENTER (NPI 1801399860) is a healthcare organization registered as a federally qualified health center (fqhc) in Pacoima, California and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through May 2, 2028 and lists Kimberly Wyard, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1801399860

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST VALLEY HEALTH CORPORATION

Location Address12759 VAN NUYS BLVDPacoima, CA 91331-1627

Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328 · (818) 898-1388 · Fax (818) 270-9585

Phone(818) 896-0531

Fax(818) 896-5850

Organization SubpartNo

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

Enumeration DateMarch 15, 2018

Last NPPES UpdateMarch 3, 20223 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1801399860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code261QF0400X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X

12759 VAN NUYS BLVD, Pacoima, CA 91331

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Other Names 1

Doing Business AsPacoima Women's Health Center

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) 05D2148104

Pacoima Women's Health Center · Pacoima, CA

Active · expires May 2, 2028

CLIA Number05D2148104

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMay 3, 2026

Certificate Expiration DateMay 2, 2028

Laboratory DirectorGina Johnson

Laboratory Phone(818) 896-0531

Laboratory LocationPacoima Women's Health Center12759 Van Nuys Blvd, Pacoima, CA 91331

CLIA data matches this NPI record on: Address Name Phone

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.

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 1801399860. It was assigned to this organization in the NPPES registry on March 15, 2018. The provider is doing business as Pacoima Women's Health Center.

Where is Northeast Valley Health Corporation located?

Northeast Valley Health Corporation is located at 12759 Van Nuys Blvd, Pacoima, CA 91331. The listed phone number is (818) 896-0531.

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.

Does Northeast Valley Health Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2148104) is associated with this NPI, valid through May 2, 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 Northeast Valley Health Corporation was last updated on March 3, 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.