SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS – NPI #1356015580
Internal Medicine

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.

SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS is a provider located in VAN NUYS, CA. NPPES has assigned the NPI number 1356015580 to SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS on August 02, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS” is a dba name, the actual legal business name for this organization is SERRA COMMUNITY MEDICAL CLINIC INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 4 years ago on May 04, 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 SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS below.

NPI Profile for
SERRA COMMUNITY MEDICAL CLINIC INC

NPI Number
1356015580
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERRA COMMUNITY MEDICAL CLINIC INC
Doing Business As (dba): SERRA COMMUNITY MEDICAL CLINIC- VAN NUYS
Primary location
6850 SEPULVEDA BLVD STE 209
VAN NUYS, CA 91405-4453
Phone: (818) 504-4504 Fax: (818) 504-4637
Mailing address
9375 SAN FERNANDO RD
SUN VALLEY, CA 91352-1418
Phone: (818) 504-4504 Fax: (818) 504-4637
Organization Subpart
No
Authorized Official
LILY PEREZ
CREDENTIALING COORDINATOR
Phone: (818) 504-4701
Updated
Certification Date
May 04, 2022

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.

Taxonomy Code(s)

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
207R00000X
- Internal Medicine (Primary)
208000000X
- Pediatrics
207Q00000X
- Family Medicine

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.