Active NPI
Delta Health Services, Inc.
- Home Health Agency
- Valley Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DELTA HEALTH SERVICES, INC.
- Practice address
- 12722 Riverside Dr Ste 201a
Valley Village, CA 91607-3326 - Phone
- (818) 570-2540
- Fax
- (818) 301-4053
- NPI assigned
- Jan 21, 2022
- Last updated
- Jan 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Myhanh Nguyen, RN
- Title
- Administrator/DPCS
- Phone
- (714) 494-4192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
12722 Riverside Dr Ste 201a
Valley Village, CA 91607-3326
Mailing address
18430 Brookhurst St.
#201J
Fountain Valley, CA 92708-6726
Phone (714) 494-4192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230801000917 | CA | Part A Provider - Home Health Agency | 0941661466 | Practice locations: Fountain Valley, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932851888. Details of each certification follow.
Home health agency certification: CCN 757650
- Legal name
- DELTA HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 10, 2024
- Last certification
- May 10, 2024
- Organization structure
- Corporation
- Enrollment address
- 18430 Brookhurst St
Ste 201J
Fountain Valley, CA 92708-6726
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Delta Health Services Inc
- Overall star rating
- Ownership
- -
- Certified
- May 10, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
18430 Brookhurst St
#201J
Fountain Valley, CA 92708
18430 Brookhurst St
Ste 201J
Fountain Valley, CA 92708
Phone (713) 494-4192
12722 Riverside Dr
Ste 201A
Valley Village, CA 91607
Phone (818) 570-2540
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Sergey Bedrossian | 5% Or Greater Direct Ownership Interest | Jan 6, 2022 | 100% |
| Myhanh Nguyen | Contracted Managing Employee | Dec 1, 2024 | 100% |
| Corporate Officer | Dec 1, 2024 | 49% |
Practitioners & affiliated clinicians
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.
-
- Student in an Organized Health Care Education/Training Program
- Long Beach, CA
- NPI 1851248728
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Westminster, CA
- NPI 1093701690
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769644800000",
"number": "1932851888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18430 BROOKHURST ST.",
"address_2": "#201J",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086726",
"telephone_number": "714-494-4192",
"fax_number": "714-442-8357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12722 RIVERSIDE DR STE 201A",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073326",
"telephone_number": "818-570-2540",
"fax_number": "818-301-4053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-21",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "MYHANH",
"authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
"authorized_official_telephone_number": "714-494-4192",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.