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

Q: What is Tavarua Medical Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since March 27, 2012

474 S CITRUS AVE, AZUSA, CA 91702(626) 858-9500(626) 858-9090 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, Mar 8, 2023, Jan 8, 2020 (3 updates tracked since 2020).

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About Tavarua Medical Rehabilitation Services NPPES

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

TAVARUA MEDICAL REHABILITATION SERVICES (NPI 1184990814), doing business as Azusa Medical And Mental Health Services, is a healthcare organization registered as a rehabilitation, substance use disorder in Azusa, California and active in the NPI registry since March 2012. The organization lists Cynthia Ann Blanks, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184990814

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameTAVARUA MEDICAL REHABILITATION SERVICES

Location Address474 S CITRUS AVEAzusa, CA 91702-4733

Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (661) 254-6630 · Fax (661) 254-6644

Phone(626) 858-9500

Fax(626) 858-9090

Organization SubpartNo

Authorized OfficialCynthia Ann BlanksExecutive Director · (661) 254-6630

Enumeration DateMarch 27, 2012

Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration

NPPES CertifiedOctober 31, 2025

✔ NPI 1184990814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

License✔ Licensed in CA · 19-126

Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X

474 S CITRUS AVE, Azusa, CA 91702

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Other Names 1

Doing Business AsAzusa Medical And Mental Health Services

Other Identifiers 2

Medicaid19CQCA

Other19-126CA · State Ntp License

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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 G2067

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.

215 services14 patients

Other Providers at the Same Location NPPES 10

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

STEPHAN J ZARAGOZA

Counselor (Addiction (Substance Use Disorder))