Valley Community Healthcare

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

VALLEY COMMUNITY HEALTHCARE

Practice address

5800 Fulton Ave
Valley Glen, CA 91401-4062

Phone

(818) 763-8836

NPI assigned

Apr 19, 2019

Reactivated

Jun 6, 2019

Last updated

Jun 6, 2019By 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

Susan E Dion

Title

Vice President

Phone

(818) 763-8836

Specialties & licenses 1

Addresses

Tax ID family

Valley Community Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Valley Community Healthcare

  • Voluntary or Charitable Agency
  • North Hills, CA
  • NPI 1932501996
  NPD tax ID

Locations

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1427611961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HASKELL AVE",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913433121",
            "telephone_number": "818-763-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FULTON AVE",
            "city": "VALLEY GLEN",
            "state": "CA",
            "postal_code": "914014062",
            "telephone_number": "818-763-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COMMUNITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-06-06",
        "deactivation_date": "2019-05-06",
        "reactivation_date": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "DION",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-763-8836"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jennifer Stern
• Jonathan Chia-an Sung, ATC, CSCS, CES
• Miraya Surya-Keller
• Keith Allen Telligman
• Touch of Life Hospice, Inc
• Via Care Community Health Center
• Wellness Solution Medical Group Inc

• Voluntary or Charitable Agency in Valley Glen, CA
• Providers in Valley Glen, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.