Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Valley Health Corporation

Organization Case Manager/Care Coordinator · NPI 1053312587

Northeast Valley Health Corporation is a Case Manager/Care Coordinator in Pacoima, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
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Practice location Address checks out

12451 W Gain St
Pacoima, CA 91331
Phone: (818) 897-2193
Fax: (818) 890-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053312587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wyard — Chief Executive Officer · (818) 898-1388
Other names Maclay Wellness Center; Maclay Wellness Center
NPI enumeratedAugust 9, 2005
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address1172 N Maclay Ave, San Fernando, CA 91340-1328

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