Serra Community Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SERRA COMMUNITY MEDICAL CLINIC INC

Doing business as

Serra Community Medical Clinic- Van Nuys

Practice address

6850 Sepulveda Blvd Ste 209
Van Nuys, CA 91405-4453

Phone

(818) 504-4504

Fax

(818) 504-4637

NPI assigned

Aug 2, 2021

Organization subpart

No

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

Addresses

Other names 1

• Serra Community Medical Clinic- Van Nuys Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Serra Community Medical Clinic Inc

  • Adult Medicine Physician
  • Sun Valley, CA
  • NPI 1275545725

  O20031211000772

  Same enrollment
• Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302

  O20031211000772

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Serra Comm Med Clinic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Serra Community Medical Clinic, Inc

  • Ambulatory Surgical Clinic/Center
  • Sun Valley, CA
  • NPI 1588787790
  NPD tax ID
• Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Sun Valley, CA
  • NPI 1114543113
  NPD tax ID
• Serra Community Medical Clinic, Inc.

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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

• Brenda Chang, FNP

  • Family Nurse Practitioner
  • Sun Valley, CA
  • NPI 1487419545
  NPD
• Elizabeth Cosio

  • Physical Therapist
  • Glendora, CA
  • NPI 1568256188
  NPD
• Ralph Vincent Aguinaldo Fontejon, MSN APRN FNP-BC

  • Family Nurse Practitioner
  • Porter Ranch, CA
  • NPI 1477101624
  NPD
• Alejandro Jose Villafranca Pascua, M.D.

  • Internal Medicine Physician
  • Sun Valley, CA
  • NPI 1083230957
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1356015580",
    "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": "818-504-4504",
            "fax_number": "818-504-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 SEPULVEDA BLVD STE 209",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054453",
            "telephone_number": "818-504-4504",
            "fax_number": "818-504-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA COMMUNITY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serra Community Medical Clinic- Van Nuys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Internal Medicine Physician in California

• 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.
• 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.