San Fernando Community Mental Health Center

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

SAN FERNANDO COMMUNITY MENTAL HEALTH CENTER

Practice address

16650 Sherman Way
Van Nuys, CA 91406-3782

Phone

(818) 908-4999

NPI assigned

Jan 27, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hannah De JesusNPI 1548969355

Title

Mental Health Counselor

Phone

(818) 517-5915

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah De Jesus

  • Community Health Worker
  • Van Nuys, CA
  • NPI 1548969355
  NPD Authorized official

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1316653785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251443",
            "telephone_number": "818-428-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063782",
            "telephone_number": "818-908-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FERNANDO COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "818-517-5915"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Samaniego
• Andres Samayoa
• Tiffany Denise Sams
• Kyla Mendez San Antonio, BA
• San Fernando Community Mental Health Center
• San Fernando Valley Community Mental Health Center
• San Fernando Valley Community Mental Health Center
• San Fernando Valley Community Mental Health Center (SFVCMHC Independent Living Program)
• San Fernando Valley Community Mental Health Center - FSP
• San Fernando Valley Community Mental Health Center, Inc. (SFVCMH/Victory Wellness Center)

• Community Health Worker in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.