SERRA COMMUNITY MEDICAL CLINIC, INC. (NPI# 1285792549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285792549 |
| Entity Type | Organization |
| Organization Name | SERRA COMMUNITY MEDICAL CLINIC, INC. |
| Practice Address |
15243 Vanowen St Ste 102 Van Nuys CA 91405-3634 |
| Practice Telephone | 8185044700 |
| Practice Fax Number | 8185044690 |
| Mailing Telephone | 8185044700 |
| Mailing Fax Number | 8185044690 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MRS. KARINA QUINTERO (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8185044700 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487298477 | Serra Community Medical Clinic, Inc. | Pediatrics | 6850 Sepulveda Blvd Ste 209, Van Nuys, CA 91405-4453 | 2019-11-01 |
| 1114543113 | Serra Community Medical Clinic, Inc. | Pediatrics | 8426 Sunland Blvd, Sun Valley, CA 91352-3436 | 2020-06-25 |
| Street Address |
15243 VANOWEN ST STE 102 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700360088 | Nexus Medical Group, Inc | Family Medicine | 14856 Vanowen St, Van Nuys, CA 91405-3828 | 2018-09-21 |
| 1881139178 | Racquel S Quema Md Inc | Family Medicine | 14624 Sherman Way Ste 206, Van Nuys, CA 91405-5847 | 2016-12-22 |
| 1215281142 | Arts Imaging Center Inc | Family Medicine | 13758 Victory Blvd Ste 201, Van Nuys, CA 91401-6730 | 2012-10-30 |
| 1013202589 | Betzy Karina Padilla Salcedo | Family Medicine | 7515 Van Nuys Blvd., Van Nuys, CA 91405 | 2011-06-13 |
| 1447588306 | Juno Medical Group | Family Medicine | 6741 Van Nuys Blvd, Suite 203k, Van Nuys, CA 91405-4630 | 2009-12-03 |
| 1871748962 | Westfield Medical Inc | Family Medicine | 6360 Van Nuys Blvd, Suite 146, Van Nuys, CA 91401-2638 | 2008-11-18 |
| 1558543280 | Garbis Apelian | Family Medicine | 14624 Sherman Way Ste 603, Van Nuys, CA 91405-2279 | 2007-12-05 |
| 1467530121 | Vagharshak M Pilossyan | Family Medicine | 13321 Victory Blvd, Van Nuys, CA 91401-1832 | 2006-11-01 |
| 1821175811 | Myung Hoon Lee | Family Medicine | 14614 Victory Blvd, Van Nuys, CA 91411-1621 | 2006-11-01 |
| 1508955170 | Miguel Angel Espin Mejia | Family Medicine | 15211 Vanowen St Ste 206, Van Nuys, CA 91405-3620 | 2006-10-12 |
| Find all providers in VAN NUYS | ||||
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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.