VALLEY VILLAGE HEALTH CLINIC PC
NPI 1881330603
Internal Medicine in Valley Village, CA

Active since May 05, 2022CLIA 05D2294323 · Waiver
4/5
Patient Care Rating
12626 RIVERSIDE DR STE 301, VALLEY VILLAGE, CA 91607(818) 452-9266(818) 358-2079 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, May 5, 2022 (2 updates tracked since 2022).

About Valley Village Health Clinic Pc NPPES

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

VALLEY VILLAGE HEALTH CLINIC PC (NPI 1881330603) is a healthcare organization registered as an internal medicine in Valley Village, California and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Jason Groomer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881330603
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVALLEY VILLAGE HEALTH CLINIC PC
Location Address12626 RIVERSIDE DR STE 301Valley Village, CA 91607-3473
Mailing AddressPo Box 27206Los Angeles, CA 90027-0206 · (213) 385-0675 · Fax (213) 365-6429
Fax(818) 358-2079
Organization SubpartNo
Authorized OfficialJason GroomerMedical Director · (818) 452-9266
Enumeration DateMay 5, 2022
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1881330603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12626 RIVERSIDE DR STE 301, Valley Village, CA 91607

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 of Waiver 05D2294323

Valley Village Health Clinic PC · Valley Village, CA
Active · expires Nov 20, 2027
CLIA Number05D2294323
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorJason E. Groomer
Laboratory Phone(818) 452-9266
Laboratory LocationValley Village Health Clinic PC12626 Riverside Dr Ste 301, Valley Village, CA 91607
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Valley Village Home Care, Inc (CMS certification number 559238), from CMS Care Compare.

Valley Village Home Care, Inc

Home health agency · Valley Village, CA
4.5/5 Quality of Patient Care
OwnershipProprietary
CMS Certification Number559238
Medicare-Certified SinceApril 20, 2020
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner
95.7%
Patients who got better at walking or moving around
100%
Patients who got better at getting in and out of bed
88.4%
Patients who got better at bathing
100%
Patients whose breathing improved
100%
Patients who got better at taking their drugs correctly by mouth
76%
Patients checked for a flu shot for the current season
72.5%
Physician-recommended actions on medication issues completed on time
100%
Patients with a functional assessment and care plan at admission and discharge
100%
Patients experiencing one or more falls with major injury
Lower rates are better for this measure.
0%
New or worsened pressure ulcers or injuries (skin integrity)
Lower rates are better for this measure.
0%
Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
57 of 65 patient episodes · observed rate 87.69%
82.57% Same As National Rate
Potentially preventable hospital readmissions after discharge
Cases too small to report
Medicare spending per episode of care, relative to the national average
1.00 = national average per episode of care · based on 183 episodes
0.80
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607
Home Health
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607
Chiropractor (Sports Physician)
12626 RIVERSIDE DR STE 301
NORTH HOLLYWOOD, CA 91607
Internal Medicine
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607
Chiropractor (Sports Physician)
12626 RIVERSIDE DR STE 301
NORTH HOLLYWOOD, CA 91607
Chiropractor
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607
Counselor (Professional)
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607
Nurse Practitioner (Family)
12626 RIVERSIDE DR STE 301
VALLEY VILLAGE, CA 91607

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 Valley Village Health Clinic PC's NPI number?

The NPI number for Valley Village Health Clinic PC is 1881330603. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Valley Village Health Clinic PC located?

Valley Village Health Clinic PC is located at 12626 Riverside Dr Ste 301, Valley Village, CA 91607. The listed phone number is (818) 452-9266.

What is Valley Village Health Clinic PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Valley Village Health Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2294323) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Valley Village Health Clinic PC a Medicare-certified home health agency?

Yes. Valley Village Home Care, Inc is a Medicare-certified home health agency, certified since April 20, 2020.

What quality rating does Valley Village Health Clinic PC have?

CMS rates Valley Village Home Care, Inc 4.5 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Valley Village Health Clinic PC was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.