Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHWEST VALLEY FAMILY MEDICAL CLINIC, INC.
Active
Organization
NORTHWEST VALLEY FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTINA BARTE MASONGSONG M.D. (V.P./TREASURER)
(818) 727-1974
Entity
Organization
Contact information
Practice address
21119 DEVONSHIRE ST, CHATSWORTH, CA 91311
(818) 727-1974
(818) 727-7726
Mailing address
19182 DUNURE PLACE, NORTHRIDGE, CA 91326
(818) 368-2859
(818) 727-7726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A70495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101260
—
CA
05
—
GR0101261
—
CA
Enumeration date
10/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up