Canby Community Clinic Inc
NPI 1518686377 · Clinic/Center · Reseda, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canby Community Clinic Inc is a Clinic/Center organization in Reseda, CA (NPI 1518686377).
Provider details
- NPI number
- 1518686377
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jenny Avetisyan, Ceo(818) 674-4414
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- Pura Vida Community Clinic
- Doing business as
- Pura Vida Community Clinic
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Frequently asked questions
- What is Canby Community Clinic Inc's NPI number?
- Canby Community Clinic Inc's National Provider Identifier (NPI) is 1518686377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canby Community Clinic Inc?
- Canby Community Clinic Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canby Community Clinic Inc located?
- Canby Community Clinic Inc's practice location on file with NPPES is 7601 Canby Ave, Reseda, CA 91335-2953.
- What is Canby Community Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Canby Community Clinic Inc is (818) 383-9383.
- Does Canby Community Clinic Inc accept Medicare?
- Canby Community Clinic Inc 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 Canby Community Clinic Inc?
- The authorized official listed on Canby Community Clinic Inc's NPPES record is Jenny Avetisyan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canby Community Clinic Inc's NPI active?
- Yes — Canby Community Clinic Inc's NPI (1518686377) is active in the NPPES registry as of the last update on 2025-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.