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 1114928595

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

Licensed in
CA
In the registry since
2005
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12756 Van Nuys Blvd
Pacoima, CA 91331-1626
Phone: (818) 896-0531
Fax: (818) 896-5850
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Community Health Clinic/Center Taxonomy 261QC1500X · Licence 9600189 (CA)

Record details

NPI number1114928595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Wyard — Chief Executive Officer · (818) 898-1388
Other names Pacoima Health Center; Pacoima Health 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

Other providers in Pacoima