OrganizationActive
Serra Community Medical Clinic, Inc.
NPI 1114543113 · Internal Medicine Physician · Sun Valley, CA
Provider details
- NPI number
- 1114543113
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Serra Community Medical Clinic, Inc.
- Organization subpart
- Yes
- Authorized official
- Lily Perez, Credentialing Coordinator(818) 504-4701
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
8426 Sunland Blvd
Sun Valley, CA 91352-3436
Phone: (818) 504-4526
Fax: (818) 504-4690
Street-level locationGet directions
Mailing address
9375 San Fernando Rd
Sun Valley, CA 91352-1418
Other names (DBA / former)
- Doing business as
- Serra Community Medical Clinic- Sunland
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.