| San Fernando Community Hospital | |
| 
					732 Mott St Suite 100 San Fernando CA 91340-4237  | |
| (818) 963-5690 | |
| (818) 365-0726 | 
| Full Name | San Fernando Community Hospital | 
|---|---|
| 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 Hospital 732 Mott St Suite 100 San Fernando CA 91340-4237 Ph: (818) 963-5690  | San Fernando Community Hospital 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 | Aura Veliz | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1235276940 PECOS PAC ID: 7810165925 Enrollment ID: I20110715000334  | 
| 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  | 
| Provider Name | Brenda Elena Sanchez | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1376982835 PECOS PAC ID: 6709311459 Enrollment ID: I20241119001408  | 
| Provider Name | Andre Andy Basmadzhyan | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1508307745 PECOS PAC ID: 3375811219 Enrollment ID: I20241211003261  | 
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  | |
Northeast Valley Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826  | |
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  | |
Noble Care Medical Group, Inc 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  | |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Pico St, San Fernando, CA 91340 Phone: 818-837-6969  |