Northeast Valley Health Corporation
NPI 1053312587 · Federally Qualified Health Center (FQHC) · Pacoima, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeast Valley Health Corporation is a Federally Qualified Health Center (FQHC) organization in Pacoima, CA (NPI 1053312587).
Provider details
- NPI number
- 1053312587
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Wyard, Chief Executive Officer(818) 898-1388
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Maclay Wellness Center
- Doing business as
- Maclay Wellness Center
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Frequently asked questions
- What is Northeast Valley Health Corporation's NPI number?
- Northeast Valley Health Corporation's National Provider Identifier (NPI) is 1053312587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Valley Health Corporation?
- Northeast Valley Health Corporation is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Northeast Valley Health Corporation located?
- Northeast Valley Health Corporation's practice location on file with NPPES is 12451 W. Gain Street, Pacoima, CA 91331.
- What is Northeast Valley Health Corporation's phone number?
- The practice phone number listed in the NPPES registry for Northeast Valley Health Corporation is (818) 897-2193.
- Does Northeast Valley Health Corporation accept Medicare?
- Northeast Valley Health Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Northeast Valley Health Corporation?
- The authorized official listed on Northeast Valley Health Corporation's NPPES record is Kimberly Wyard, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Valley Health Corporation's NPI active?
- Yes — Northeast Valley Health Corporation's NPI (1053312587) is active in the NPPES registry as of the last update on 2022-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.