San Fernando Internal Medicine. Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A118734 Issued in CA

Legal business name

SAN FERNANDO INTERNAL MEDICINE. INC

Practice address

11550 Indian Hills Rd Ste 240
Mission Hills, CA 91345-1202

Phone

(818) 488-5188

Fax

(818) 356-4220

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Karine Yeghoyan, MDNPI 1265664304

Title

Ceo

Phone

(818) 488-5188

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karine Yeghoyan, M.D.

  • Internal Medicine Physician
  • Mission Hills, CA
  • NPI 1265664304
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1184081598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 240",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451202",
            "telephone_number": "818-488-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 240",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451202",
            "telephone_number": "818-488-5188",
            "fax_number": "818-356-4220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19950 Rinaldi St # 101D",
            "address_purpose": "LOCATION",
            "city": "Porter Ranch",
            "state": "CA",
            "postal_code": "913264141",
            "country_code": "US",
            "telephone_number": "818-488-5188",
            "fax_number": "818-356-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN FERNANDO INTERNAL MEDICINE. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "YEGHOYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-488-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A118734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265664304",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dulce Elizabeth Salazar, RD
• Adolfo Salcido II, P.A.
• Rodney Anton Samaan, MD
• Jill Beth Samovar, M.D.
• Gretchen D Sampson, M.D.
• San Fernando Valley Surgery Center, LP
• Shamel Sanani, MD
• Andrea Christina Sanchez, M.D.
• Grace Sanchez
• Janet Sanchez, LCSW

• Primary Care Clinic/Center in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.