TAVARUA HEALTH SERVICES
NPI 1235344086
Clinic/Center - Methadone in Pico Rivera, CA

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

Active since May 14, 2007CLIA 05D2325443 · Waiver

8207 WHITTIER BLVD, PICO RIVERA, CA 90660(562) 695-0737(562) 695-0413 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
Areas of Expertise
CLIA Information
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Methadone
CLIA Number: 05D2325443
CLIA Cert. Type: Other - OTP METHADONE CLINIC
CLIA Exp. Date: 06-11-2027

About TAVARUA HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Tavarua Health Services, a provider established in Pico Rivera, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1235344086 assigned on May 2007. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Cynthia Ann Blanks (C E O)

NPI: 1235344086 Verify this NPI
Provider Name: TAVARUA HEALTH SERVICES
Entity Type: Organization
Location Address: 8207 WHITTIER BLVD PICO RIVERA, CA 90660
Location Phone: (562) 695-0737
Location Fax: (562) 695-0413
Mailing Address: 26460 SUMMIT CIR SANTA CLARITA, CA 91350
Mailing Phone: (661) 254-6630
Mailing Fax: (661) 254-6644
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-14-2007
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 Methadone
Taxonomy Code: 261QM2800X
Type: Ambulatory Health Care Facilities
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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)
1	261QR0405X	Ambulatory Health Care Facilities	Clinic/Center Rehabilitation, Substance Use Disorder	19-107 (CA)

Insurance Plans Accepted

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

Medicare

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

Medicaid

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: C E O
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
6984	OTHER (01)	CA	ADPA
19-107	MEDICAID (05)	CA

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
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2325443
Facility Type: Other - OTP METHADONE CLINIC
Certificate Effective Date: June 12, 2025
Certificate Expiration Date: June 11, 2027
Laboratory Director: MICHAEL YADEGARI
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Tavarua Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.