Total Health Elevated Medical Corp
Clinic/Center in Northridge, CA. Organization (NPI-2).
NPI number1699396754
StatusActive
Last updated in NPPESApr 16, 2026
Details
- NPI
- 1699396754
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Health Elevated Medical Corp
- Organization subpart
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- Apr 16, 2026
- Last updated
- Apr 16, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – |
Practice location
17022 Devonshire StNorthridge, CA 91325-1617
Phone 818-923-5405 · Fax 818-875-3228
Mailing address
17022 Devonshire StNorthridge, CA 91325-1617
Phone 818-923-5405 · Fax 818-875-3228
Authorized official
Nanotchka Chunley
Owner
3105986020
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