| San Fernando Community Health Center | |
|
732 Mott St Suite 100 San Fernando CA 91340-4237 | |
| (818) 963-5690 | |
| (818) 365-0726 |
| Full Name | San Fernando Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 732 Mott St, San Fernando, California |
| Authorized Official Name and Position | Audrey L. Simons (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8183655059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Community Health Center 732 Mott St Suite 100 San Fernando CA 91340-4237 Ph: (818) 963-5690 | San Fernando Community Health Center 732 Mott St Suite 100 San Fernando CA 91340-4237 Ph: (818) 963-5690 |
| NPI Number | 1245669555 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 7719298728 |
|---|---|
| Medicare Enrollment ID | O20150617002164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245669555 | NPI | - | NPPES |
| 4640840 | Medicaid | CA |
| Provider Name | Ani Balabegian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285868828 PECOS PAC ID: 3971659293 Enrollment ID: I20090928000586 |
| Provider Name | Adriana Cobian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801936489 PECOS PAC ID: 1850577883 Enrollment ID: I20110509000736 |
| Provider Name | Johnny Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962825000 PECOS PAC ID: 4587987748 Enrollment ID: I20141219002187 |
| Provider Name | Armen Okunyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942700232 PECOS PAC ID: 3173945938 Enrollment ID: I20200624000764 |
| Provider Name | Vishaal Naishadh Buch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801200613 PECOS PAC ID: 8426350984 Enrollment ID: I20200710000471 |
| Provider Name | Jenifer Rezende Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326501503 PECOS PAC ID: 5092125401 Enrollment ID: I20201112002825 |
Sentinel Health Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S Maclay Ave, San Fernando, CA 91340 Phone: 818-700-1250 Fax: 818-700-1045 | |
Louis B Flores Md Inc - A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340 Phone: 818-853-2220 Fax: 818-853-2221 | |
San Fernando Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St Ste 100, San Fernando, CA 91340 Phone: 818-963-5690 | |
San Fernando Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Maclay Ave, San Fernando, CA 91340 Phone: 818-361-3788 Fax: 818-361-4630 | |
Hope Community Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340 Phone: 818-853-2220 Fax: 818-853-2221 | |
San Fernando Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Pico St, San Fernando, CA 91340 Phone: 818-837-6969 |