SERRA COMMUNITY MEDICAL CLINIC (NPI# 1255583688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255583688 |
| Entity Type | Organization |
| Organization Name | SERRA COMMUNITY MEDICAL CLINIC |
| Practice Address |
9375 San Fernando Rd Sun Valley CA 91352-1418 |
| Practice Telephone | 8185044700 |
| Practice Fax Number | 8185044690 |
| Mailing Telephone | 8185044700 |
| Mailing Fax Number | 8185044690 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | MRS. ARLENE O'NEIL (ADMINISTRATOR) |
| Authorized Official Telephone | 8185044700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GRE001410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417049214 | Serra Community Medical Clinic | Family Medicine | 8100 Sunland Blvd, Sun Valley, CA 91352 | 2006-09-29 |
| Street Address |
9375 SAN FERNANDO RD |
| City | SUN VALLEY |
| State | CA |
| Zip Code | 91352-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033150933 | Vinay V.r. Keesara | Internal Medicine | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2006-06-10 |
| 1306443288 | Karine Torossian | Nurse Practitioner | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2020-10-05 |
| 1326512021 | James Harvey Kaplan | Pharmacist | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2019-01-15 |
| 1679082697 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2017-09-21 |
| 1255859906 | Samantha Esguerra Gonzales | Nurse Practitioner | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2017-09-01 |
| 1801338868 | D Sangho Park Dds Inc | Dentist | 9375 San Fernando Rd, 6 Th Floor, Sun Valley, CA 91352-1418 | 2016-11-08 |
| 1427402155 | Michael Bennett Pilkington | Podiatrist | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2016-04-19 |
| 1578952057 | Cassandra Montoya | Physician Assistant | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2015-01-21 |
| 1629482864 | Gerardo Cabanillas Salazar | Internal Medicine | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2014-06-16 |
| 1992059729 | Marjan Taheri | Dentist | 9375 San Fernando Rd, Sun Valley, CA 91352-1418 | 2012-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457908618 | The Teen Project, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8142 Sunland Blvd., Sun Valley, CA 91352 | 2019-08-22 |
| 1831638717 | Sonia Canton | Counselor | 8140 Sunland Blvd., Sun Valley, CA 91352 | 2017-02-13 |
| 1023480613 | Hhs Homecare, Inc | Home Health | 10875 La Tuna Canyon Rd, Sun Valley, CA 91352 | 2015-10-22 |
| 1407259724 | Irina Yerkanyan | Driver | 8258 Sunland Blvd, Sun Valley, CA 91352 | 2014-09-30 |
| 1013199264 | Northeast Valley Health Corporation | Clinic/Center | 7223 N. Fair Avenue, Sun Valley, CA 91352 | 2007-11-29 |
| 1528117413 | Kerri Davidove Lee | Optometrist | 8447 Laurel Canyon Blvd, Sun Valley, CA 91352 | 2007-01-09 |
| 1043394513 | Emma P Aralar | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8983 Telfair Avenue, Sun Valley, CA 91352 | 2006-10-24 |
| 1861402935 | Pacifica of The Valley Corporation | General Acute Care Hospital | 9449 San Fernando Road, Sun Valley, CA 91352 | 2006-08-09 |
| 1003415142 | Michelle Marie Villarreal | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| 1891394946 | Sharon Stasha Kukkiriza | Technician | 8142 Sunland Blvd, Sun Valley, CA 91352 | 2020-10-20 |
| Find all providers in zip 91352 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | SUN VALLEY |
| Zip Code | 91352 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.