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MS. ADALJIZA TAVERA PMHNP, FNP
NPI 1043825193
Nurse Practitioner - Family in Gardena, CA

Active since September 14, 2020PECOS EnrolledAccepts Medicare Assignment
1225 W 190TH ST STE 280, GARDENA, CA 90248(310) 515-8113(310) 538-2102 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Adaljiza Tavera Pmhnp, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ADALJIZA TAVERA PMHNP, FNP (NPI 1043825193) is an individual family provider in Gardena, California, licensed in California (NP95013634) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Van Nuys, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043825193
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ADALJIZA TAVERACredential: PMHNP, FNP
Location Address1225 W 190TH ST STE 280Gardena, CA 90248-4305
Mailing AddressPo Box 31231Los Angeles, CA 90031-0231 · (323) 947-4901
Phone(310) 515-8113
Fax(310) 538-2102
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1043825193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95013634
1225 W 190TH ST STE 280, Gardena, CA 90248
Open in Google Maps ↗

Secondary Practice Location 1

Location 114541 Delano StVan Nuys, CA 91411-2820 · Phone (310) 515-8113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Adaljiza Tavera Pmhnp, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537575337
PECOS Enrollment IDI20210302002174
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUAN CRISTOBAL RONDEAU MD
Psychiatry & Neurology (Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
DR. MANUEL RAMON MOTA-CASTILLO MD
Psychiatry & Neurology (Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
EVELYN GARCIA
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
GLORIA S ORIGEL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
MRS. ADESHEWA ADEKUNBI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (877) 515-8113
FELIX NA AHMEDOV RN
Registered Nurse (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (310) 515-8113
MS. NECHELLE LASHAY FREEMAN RN, BSN
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (559) 341-8373
OLAJUMOKE ADEYEMI
Nurse Practitioner (Psychiatric/Mental Health)
1225 W 190TH ST STE 280
GARDENA, CA 90248
Los Angeles County (805) 650-3880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adaljiza Tavera's NPI number?

The NPI number for Adaljiza Tavera is 1043825193. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Adaljiza Tavera located?

Adaljiza Tavera practices at 1225 W 190th St Ste 280, Gardena, CA 90248. The listed phone number is (310) 515-8113.

What is Adaljiza Tavera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Adaljiza Tavera enrolled in Medicare?

Yes. Adaljiza Tavera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adaljiza Tavera accept?

Health plans from Providence Health Plan list Adaljiza Tavera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adaljiza Tavera was last updated on September 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.