TAVARUA MEDICAL REHABILITATION SERVICES
NPI 1184990814
Clinic/Center - Rehabilitation, Substance Use Disorder in Azusa, CA

NPI Status: Active since March 27, 2012

Contact Information

474 S CITRUS AVE
AZUSA, CA
ZIP 91702
Phone: (626) 858-9500
Fax: (626) 858-9090

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About TAVARUA MEDICAL REHABILITATION SERVICES

This page provides the complete NPI Profile along with additional information for Tavarua Medical Rehabilitation Services, a provider established in Azusa, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1184990814 assigned on March 2012. The practitioner's primary taxonomy code is 261QR0405X with license number 19-126 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Cynthia Ann Blanks (Executive Director)

NPI
1184990814
Provider Legal Name
TAVARUA MEDICAL REHABILITATION SERVICES
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
474 S CITRUS AVE AZUSA, CA 91702
Location Phone
(626) 858-9500
Location Fax
(626) 858-9090
Mailing Address
26460 SUMMIT CIR SANTA CLARITA, CA 91350
Mailing Phone
(661) 254-6630
Mailing Fax
(626) 858-9090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2012
Last Update Date
10-31-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
19-126
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CYNTHIA ANN BLANKS

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(661) 254-6630

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
19CQMEDICAID (05)CA 
19-126OTHER (01)CASTATE NTP LICENSE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 333 times for 16 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184990814, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 1 + 8 + 9 + 0 + 8 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1184990814.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Rehabilitation Counselor
474 S CITRUS AVE
AZUSA, CA 91702
Licensed Psychiatric Technician
474 S CITRUS AVE
AZUSA, CA 91702
Counselor
474 S CITRUS AVE
AZUSA, CA 91702
Counselor (Addiction (Substance Use Disorder))
474 S CITRUS AVE
AZUSA, CA 91702
Counselor (Addiction (Substance Use Disorder))
474 S CITRUS AVE
AZUSA, CA 91702
Licensed Vocational Nurse
474 S CITRUS AVE
AZUSA, CA 91702
Counselor (Addiction (Substance Use Disorder))
474 S CITRUS AVE
AZUSA, CA 91702
Clinic/Center (Primary Care)
474 S CITRUS AVE
AZUSA, CA 91702
Clinic/Center (Methadone)
474 S CITRUS AVE
AZUSA, CA 91702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184990814, enumerated as an "organization" on March 27, 2012.

The provider is located at 474 S CITRUS AVE AZUSA, CA 91702 and the phone number is (626) 858-9500.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.