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Northeast Valley Health Corporation

Federally Qualified Health Center (FQHC) in Van Nuys, CA · enumerated 2005 · authorized official Kimberly Wyard, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184625568

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Valley Health Corporation
Other name <Unavail>
Practice address 6551 Van Nuys Blvd Fl 2, Van Nuys, CA, 91401
Fax (818) 765-6982
Enumeration date Aug 9, 2005
Last updated in NPPES Feb 22, 2022

Taxonomy & classification

171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Kimberly Wyard
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
FHC70582F Other CA MEDI-CAL
W14819D Other - MIN
05-1086 Other CA MEDICARE PART A
CB204579 Other CA MEDICARE PART B

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Northeast Valley Health Corporation?
Northeast Valley Health Corporation is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-22.