TAVARUA MEDICAL REHABILITATION SERVICES (NPI# 1679832745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679832745 |
Entity Type | Organization |
Organization Name | TAVARUA MEDICAL REHABILITATION SERVICES |
Other Organization Name | TAVARUA MEDICAL & MENTAL SERVICES |
Practice Address |
6265 Sepulveda Blvd Suite 10 Van Nuys CA 91411-1114 |
Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
Practice Telephone | 8187790555 |
Practice Fax Number | 8187790455 |
Mailing Telephone | 6612546630 |
Mailing Fax Number | 6612546644 |
Enumeration Date | 2012-05-10 |
Last Update Date | 2012-05-10 |
Authorized Official Name | STAN SHARMA (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6612546630 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
960000644 | CA | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
960000644 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
TAVARUA MEDICAL & MENTAL SERVICES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679848568 | Tavarua Medical Rehabilitation Services | Clinic/Center | 474 S Citrus Ave, Azusa, CA 91702-4733 | 2012-03-12 |
1427127174 | Tavarua Medical Rehabilitation Services | Clinic/Center | 8207 Whittier Blvd, Pico Rivera, CA 90660-2521 | 2006-11-07 |
1972862043 | Tavarua Medical Rehabilitation Services | Clinic/Center | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2012-05-10 |
1609135771 | Tavarua Medical Rehabilitation Services | Clinic/Center | 4023 Marine Ave, Lawndale, CA 90260-1840 | 2012-05-10 |
1184990814 | Tavarua Medical Rehabilitation Services | Clinic/Center | 474 S Citrus Ave, Azusa, CA 91702-4733 | 2012-03-27 |
Street Address |
6265 SEPULVEDA BLVD SUITE 10 |
City | VAN NUYS |
State | CA |
Zip Code | 91411-1114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801932686 | Zohrab Kevork Kiledjian | Dentist | 6265 Sepulveda Blvd, Suite 14, Van Nuys, CA 91411-1114 | 2007-01-29 |
1578914677 | Robert Marindo | Licensed Vocational Nurse | 6265 Sepulveda Blvd, Suite 9-10, Van Nuys, CA 91411-1114 | 2016-06-29 |
1902281470 | Daisy Guzman | Counselor | 6265 Sepulveda Blvd, #9, Van Nuys, CA 91411-1114 | 2015-07-27 |
1003211236 | Elisabeth Martin | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2014-10-30 |
1821337007 | Diego Alberto Mosquera | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2013-02-07 |
1942563531 | Irene Flores | Counselor | 6265 Sepulveda Blvd, Suite 9, Van Nuys, CA 91411-1114 | 2012-06-19 |
1023303534 | Anthony Ramos | Counselor | 6265 Sepulveda Blvd, 9, Van Nuys, CA 91411-1114 | 2011-06-13 |
1497074215 | Arthur Dale Young | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2010-05-18 |
1174849442 | Iris Roman | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2010-04-12 |
1437381886 | Robert Slatkin | Counselor | 6265 Sepulveda Blvd, Van Nuys, CA 91411-1114 | 2009-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517085 | Full Heart Hospice and Palliative Care Inc | Hospice Care, Community Based | 14543 Friar Street, Ste. 102, Van Nuys, CA 91411 | 2020-10-29 |
1639632078 | Primary Care Homehealthcare Inc | Home Health | 14545 Friar Street, Suite 203-2, Van Nuys, CA 91411 | 2019-04-11 |
1639639800 | Jacklynne Marder | Counselor | 5900 Sepulveda Bld., Sherman Oaks, CA 91411 | 2019-03-22 |
1710478581 | Adriana Abraamyan | Rehabilitation Practitioner | 14515 Hamlin St Ste 103, Van Nuys, CA 91411 | 2018-05-28 |
1154820595 | Sls Home Health Inc. | Hospice Care, Community Based | 6411 Sepulveda Blvd Ste 1d, Van Nuys, CA 91411 | 2018-02-11 |
1376073197 | Age Well Congregate Living, Inc | Hospice Care, Community Based | 15149 Sylvan Street, Van Nuys, CA 91411 | 2017-06-14 |
1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
1740732023 | Behavior Trend | Behavioral Analyst | 5658 Sepulveda Blvd Ste 200, Sherman Oaks, CA 91411 | 2016-11-02 |
1851764682 | Deft Solutions | Clinic/Center | 15128 Burbank Blvd, 210, Sberman Oaks, CA 91411 | 2015-11-02 |
1417332941 | Marianna Mirakyan | Behavioral Analyst | 14980 Victory Blvd #202, Van Nuys, CA 91411 | 2015-07-27 |
Find all providers in zip 91411 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003311713 | Green Cross Medical Surgical Inc | Clinic/Center | 7136 Haskell Ave Ste 205, Van Nuys, CA 91406-4112 | 2018-03-26 |
1396814893 | El Dorado Community Service Centers | Clinic/Center | 6265 Sepulveda Blvd Ste 9&10, Van Nuys, CA 91411-1114 | 2006-11-07 |
1275158545 | General Practice Partners PC | Clinic/Center | 13512 Hamlin St, Van Nuys, CA 91401-1709 | 2020-06-12 |
1699268631 | Montecristo Medical PC | Clinic/Center | 14649 Victory Blvd Ste 20, Van Nuys, CA 91411 | 2018-06-13 |
1285008938 | Tarzana Treatment Centers, Inc | Clinic/Center | 14660 Oxnard St, Van Nuys, CA 91411-3119 | 2015-11-18 |
1104209774 | County of Los Angeles - Auditor Controller | Clinic/Center | 7555 Van Nuys Blvd, 1071, Van Nuys, CA 91405-1949 | 2015-07-01 |
1871880500 | Tajav Toomari Do Inc | Clinic/Center | 7100 Van Nuys Blvd, Suite 110, Van Nuys, CA 91405-3063 | 2011-07-01 |
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1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
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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.