PACOIMA HEALTH CENTER – NPI #1114928595
Clinic/Center
PACOIMA HEALTH CENTER is an AHC clinic located in PACOIMA, CA. NPPES has assigned the NPI number 1114928595 to PACOIMA HEALTH CENTER on August 09, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PACOIMA HEALTH CENTER” is a dba name, the actual legal business name for this organization is NORTHEAST VALLEY HEALTH CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 4 years ago on Feb 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACOIMA HEALTH CENTER below.
NPI Profile for
NORTHEAST VALLEY HEALTH CORPORATION
(about 21 years ago)
PACOIMA, CA 91331-1626 Phone: (818) 896-0531 Fax: (818) 896-5850
SAN FERNANDO, CA 91340-1328 Phone: (818) 898-1388 Fax: (818) 365-4031
CHIEF EXECUTIVE OFFICER
Phone: (818) 898-1388
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for PACOIMA HEALTH CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | MIN | W14819A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
||
| 261QC1500X - Clinic/Center / Community Health |
CA | 9600189 |
| 171M00000X - Case Manager/Care Coordinator |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.