TAVARUA MEDICAL REHABILITATION SERVICES (NPI# 1972862043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972862043 |
| Entity Type | Organization |
| Organization Name | TAVARUA MEDICAL REHABILITATION SERVICES |
| Other Organization Name | TAVARUA MEDIACL & MENTAL SERVICES |
| Practice Address |
21505 Norwalk Blvd Hawaiian Gardens CA 90716-1121 |
| Mailing Address |
26460 Summit Cir Santa Clarita CA 91350-2991 |
| Practice Telephone | 5629167581 |
| Practice Fax Number | 5629167592 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
960000644 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TAVARUA MEDIACL & 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 |
| 1679832745 | Tavarua Medical Rehabilitation Services | Clinic/Center | 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1114 | 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 |
21505 NORWALK BLVD |
| City | HAWAIIAN GARDENS |
| State | CA |
| Zip Code | 90716-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861562068 | American Health Services LLC | Clinic/Center | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-08 |
| 1053973651 | Elisabeth Lynn Mitchell | Licensed Vocational Nurse | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2019-07-03 |
| 1538645866 | Linda Black Howell | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2018-07-19 |
| 1053842005 | Trina Aguilar | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2017-03-22 |
| 1740736032 | Frank Swayzer | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2016-08-28 |
| 1710339478 | Ziaul Hasan Jafry | Licensed Vocational Nurse | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2016-07-06 |
| 1386059731 | Michael James-logan Kite | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2014-06-24 |
| 1003184664 | Richard Frank Duarte II | Clinic/Center | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2011-12-09 |
| 1730338401 | Yazming Alatorre | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2008-09-17 |
| 1811154461 | Dominic Biddle | Counselor | 21505 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708081 | Pathway Medical Group | Specialist | 21500 S. Pioneer Blve Suite 210, Hawaiian Gardens, CA 90716 | 2015-04-16 |
| 1790032605 | Nancy Perez | Registered Nurse | 22009 Verne Ave, Hawaiian Gardens, CA 90716 | 2012-08-09 |
| 1194098210 | Ismael B. Nacino Md Inc | Anesthesiology | 21530 Pioneer Bl, Hawaiian Garden, CA 90716 | 2012-02-21 |
| 1326248832 | William Martin Wright | Counselor | 21520 S. Pioneer Blvd., Hawaiian Gardens, CA 90716 | 2007-07-23 |
| 1134341514 | Girish H Rami | Dentist | 12144 E Carson St, # E, Hawaiian Gardens, CA 90716 | 2007-05-03 |
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1154451995 | Consuelo Ramirez | Social Worker | 21520 S. Pioneer Bvld., Suite 110, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| 1326102013 | Hyun Chan Lee | Dentist | 12137 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-20 |
| 1871656488 | Elena G Ezpeleta | Anesthesiology | 21530 South Pioneer Blvd, Hawaiian Gardens, CA 90716 | 2006-12-18 |
| 1144388687 | Jong Chul Han | Dentist | 11846 E Carson St, Hawaiian Gardens, CA 90716 | 2006-12-05 |
| Find all providers in zip 90716 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427469386 | El Dorado Community Service Center | Clinic/Center | 21619 Norwalk Blvd, Hawaiian Gardens, CA 90716-1123 | 2014-05-14 |
| 1821167305 | El Dorado Community Service Center | Clinic/Center | 21507 Norwalk Blvd, Hawaiian Gardens, CA 90716-1121 | 2006-11-07 |
| 1326214818 | Alicia G Nugas Md Inc | Clinic/Center | 22408 Norwalk Blvd, Hawaiian Gardens, CA 90716-1546 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | HAWAIIAN GARDENS |
| Zip Code | 90716 |
Please comment or provide details below to improve the information on TAVARUA MEDICAL REHABILITATION SERVICES.
| 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.