OrganizationActive
Northeast Valley Health Corporation
NPI 1154510139 · Federally Qualified Health Center (FQHC) · San Fernando, CA
Provider details
- NPI number
- 1154510139
- 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
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1172 N Maclay Ave
San Fernando, CA 91340-1328
Phone: (818) 898-1388
Fax: (818) 365-4031
Street-level locationGet directions
Mailing address
1172 N Maclay Ave
San Fernando, CA 91340-1328
Registry dates
- Enumerated
- 2007-10-16
- Last updated
- 2022-02-22
- Certified
- 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.