MS. ADALJIZA TAVERA (NPI# 1043825193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043825193 |
| Entity Type | Individual |
| Full Name | MS. ADALJIZA TAVERA |
| Credential | PMHNP, FNP |
| Practice Address |
1225 W 190th St Ste 280 Gardena CA 90248-4305 |
| Mailing Address |
Po Box 31231 Los Angeles CA 90031-0231 |
| Practice Telephone | 3105158113 |
| Practice Fax Number | 3105382102 |
| Mailing Telephone | 3239474901 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95013634 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14541 Delano St, Van Nuys, CA 914112820 | 3105158113 |
| Street Address |
1225 W 190TH ST STE 280 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485901 | Loneze Dumas Laurent | Nurse Practitioner | 1225 W 190th St Ste 280, Gardena, CA 90248-4305 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441401 | Amechi Lilian Obodoagha | Nurse Practitioner | 1720 Marine Ave, Gardena, CA 90247-3110 | 2020-06-11 |
| 1073142121 | Angela Ugochi Otegbulu | Nurse Practitioner | 13812 Spinning Ave, Gardena, CA 90249-2365 | 2020-04-01 |
| 1386295632 | Mimi S Sanchez | Nurse Practitioner | 15710 Spinning Ave, Gardena, CA 90249-4645 | 2019-09-26 |
| 1518464486 | Ugochi Nnadozie | Nurse Practitioner | 1455 W Redondo Beach Blvd Unit 3668, Gardena, CA 90247-6592 | 2018-04-09 |
| 1477061232 | Eden B Dabalus | Nurse Practitioner | 15331 S Ainsworth St, Gardena, CA 90247-4223 | 2018-01-15 |
| 1801325949 | Ifeoma Nwufor | Nurse Practitioner | 1204 W Gardena Blvd Ste B, Gardena, CA 90247-5923 | 2017-06-11 |
| 1598197063 | Joliza Klingman | Nurse Practitioner | 1243 W 184th St, Gardena, CA 90248-4015 | 2013-08-06 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1902093651 | Yoonjin Chang | Nurse Practitioner | 1141 W Redondo Beach Blvd Ste 104, Gardena, CA 90247-3585 | 2007-09-26 |
| 1083221683 | Chinyere Esther Opara | Nurse Practitioner | 500 W 190th St Fl 4, Gardena, CA 90248-4268 | 2020-09-28 |
| Find all providers in GARDENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.