| NPI | 1275545725 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-13 |
| Last Updated | 2022-07-21 |
| Authorized Official | Lily Perez Credentialing Coordinator Phone: 8187683000 |
| Mailing Address | 9375 San Fernando Rd Fl 6 Sun Valley, CA 91352-1418 United States Phone: (818) 768-3000 | Fax: (818) 504-4690 📍 View Map |
| Primary Practice Address | 9375 San Fernando Rd 6th Floor Sun Valley, CA 91352-1418 United States Phone: (818) 768-3000 | Fax: (818) 504-4690 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | GR0086550 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207KA0200X – Allergy & Immunology, Allergy | CA | - |
| No | 207L00000X – Anesthesiology | CA | - |
| No | 207R00000X – Internal Medicine | CA | - |
| No | 207RH0003X – Internal Medicine, Hematology & Oncology | CA | - |
| No | 207V00000X – Obstetrics & Gynecology | CA | - |
| No | 207W00000X – Ophthalmology | CA | - |
| No | 207X00000X – Orthopaedic Surgery | CA | - |
| No | 2080A0000X – Pediatrics, Adolescent Medicine | CA | - |
| No | 2085R0202X – Radiology, Diagnostic Radiology | CA | - |
| No | 208800000X – Urology | CA | - |
| No | 208VP0000X – | CA | - |
| Yes | 207QA0505X – Family Medicine, Adult Medicine | CA | - |
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About NPI 1275545725
Serra Community Medical Clinic Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1275545725. The primary specialty listed is Family Medicine, Adult Medicine. The organization is located in Sun Valley, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275545725?
NPI 1275545725 belongs to Serra Community Medical Clinic Inc, a Family Medicine, Adult Medicine in Sun Valley, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275545725 active?
The current status of NPI 1275545725 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1275545725?
NPI 1275545725 is classified under the taxonomy Family Medicine, Adult Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275545725?
You can verify NPI 1275545725 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275545725?
The primary practice address on file for NPI 1275545725 is 9375 San Fernando Rd 6th Floor, Sun Valley, CA 91352-1418. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275545725 issued?
NPI 1275545725 was first issued (enumerated) on 2006-08-13. The NPPES record was last updated on 2022-07-21.
Practice Location Map
Serra Community Medical Clinic Inc is located at 9375 San Fernando Rd 6th Floor, Sun Valley, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Serra Community Medical Clinic Inc. All records sourced from the CMS NPPES registry.