NPIMap

Organization Active NPI

Serra Community Medical Clinic, Inc.

Doing business as Serra Community Medical Clinic- Pacoima

  • Internal Medicine Physician
  • Pacoima, CA
National Provider Identifier
1477134302
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.
Doing business as
Serra Community Medical Clinic- Pacoima
Practice address
10641 San Fernando Rd FL 2
Pacoima, CA 91331-2626
Phone
(818) 504-4700
Fax
(818) 504-4690
NPI assigned
Apr 21, 2021
Last updated
Jul 23, 2026By the provider in NPPES
Organization subpart
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

10641 San Fernando Rd FL 2
Pacoima, CA 91331-2626

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
239FQ0GBMedicaidCA

Other names 1

  • SERRA COMMUNITY MEDICAL CLINIC- PACOIMA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211000772 CA Part B Supplier - Clinic/Group Practice 6204732928 Receives reassigned benefits from 50 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pacoima, CA; Sun Valley, CA; Van Nuys, CA

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2228243Serra Community Medical Clinic, Inc Pacoima Office10641 San Fernando Road, Pacoima, CA 91331Certificate of waiverJun 22, 2027

National Provider Directory

National Provider Directory
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.

Locations

1818 Verdugo Blvd
Ste 207
Glendale, CA 91208
Phone (818) 330-7977

10641 San Fernando Rd
Fl 2
Pacoima, CA 91331
Phone (818) 504-4700

Practitioners & affiliated clinicians

Practitioners 54

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.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1477134302",
    "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": "10641 SAN FERNANDO RD FL 2",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913312626",
            "telephone_number": "818-504-4700",
            "fax_number": "818-504-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRA COMMUNITY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239FQ0GB",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERRA COMMUNITY MEDICAL CLINIC- PACOIMA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SERRA COMMUNITY MEDICAL CLINIC- PACOIMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pacoima, 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.
  • 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.