SERRA COMMUNITY MEDICAL CLINIC INC NPI 1275545725

NPI Information

NPI: 1275545725
Provider Name: SERRA COMMUNITY MEDICAL CLINIC INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
9375 SAN FERNANDO RD 6TH FLOOR
SUN VALLEY, CA
ZIP 91352
Phone: (818) 768-3000
Get Directions

SERRA COMMUNITY MEDICAL CLINIC INC is an adult medicine family medicine in Sun Valley, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SERRA COMMUNITY MEDICAL CLINIC INC NPI is 1275545725. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9375 SAN FERNANDO RD 6TH FLOOR
SUN VALLEY, CA
ZIP 91352-418
Phone: (818) 768-3000
Fax: (818) 504-4690

The provider's authorized official is Lily Perez .
The authorized official title is Credentialing Coordinator and has the following contact phone number (818) 768-3000.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	207KA0200X	Allergy & Immunology	Allergy	CALIFORNIA	No
2	207L00000X	Anesthesiology		CALIFORNIA	No
3	207R00000X	Internal Medicine		CALIFORNIA	No
4	207RH0003X	Internal Medicine	Hematology & Oncology	CALIFORNIA	No
5	207V00000X	Obstetrics & Gynecology		CALIFORNIA	No
6	207W00000X	Ophthalmology		CALIFORNIA	No
7	207X00000X	Orthopaedic Surgery		CALIFORNIA	No
8	2080A0000X	Pediatrics	Adolescent Medicine	CALIFORNIA	No
9	2085R0202X	Radiology	Diagnostic Radiology	CALIFORNIA	No
10	208800000X	Urology		CALIFORNIA	No
11	208VP0000X	Pain Medicine	Pain Medicine	CALIFORNIA	No
12	207QA0505X	Family Medicine	Adult Medicine	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GR0086550	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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