NPIMap

Organization Active NPI

Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Sun Valley, CA
National Provider Identifier
1114543113
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SERRA COMMUNITY MEDICAL CLINIC, INC.
Practice address
8426 Sunland Blvd
Sun Valley, CA 91352-3436
Phone
(818) 504-4526
Fax
(818) 504-4690
NPI assigned
Jun 25, 2020
Organization subpart
Yes
Parent organization
SERRA COMMUNITY MEDICAL CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Janakammal S Durairaj, MD
Title
Ceo
Phone
(818) 504-4700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X

Addresses

Primary practice location

8426 Sunland Blvd
Sun Valley, CA 91352-3436

Mailing address

9375 San Fernando Rd
Sun Valley, CA 91352-1418
Phone (818) 504-4700

Other identifiers 1

IdentifierTypeStateIssuer
1275545725MedicaidCA

Other names 1

  • Serra Community Medical Clinic- Sunland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serra Comm Med Clinic Inc4 organizations share this tax ID, including this one
Part of
Serra Comm Med Clinic Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1114543113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521418",
            "telephone_number": "818-504-4700",
            "fax_number": "818-504-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 SUNLAND BLVD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913523436",
            "telephone_number": "818-504-4526",
            "fax_number": "818-504-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA COMMUNITY MEDICAL CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERRA COMMUNITY MEDICAL CLINIC, INC.",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "DURAIRAJ",
        "authorized_official_first_name": "JANAKAMMAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-504-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275545725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serra Community Medical Clinic- Sunland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.