TAVARUA MEDICAL REHABILITATION SERVICES


Address: 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1114
Phone: 8187790555

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
TAVARUA MEDICAL & MENTAL SERVICES Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 6265 SEPULVEDA BLVD
SUITE 10
City VAN NUYS
State CA
Zip Code 91411-1114

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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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
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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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1386258754 Apollo Health Services Inc Clinic/Center 438 E Katella Ave Ste 229, Orange, CA 92867-4803 2020-09-03
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Competitor

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City VAN NUYS
Zip Code 91411

Improve Information

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Dataset Information

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.

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