JESSICA TAVERA
NPI 1427364199
Rehabilitation Practitioner in Lynwood, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since August 19, 2010

2594 INDUSTRY WAY, LYNWOOD, CA 90262(310) 667-4071 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2025, Jun 1, 2023 (2 updates tracked since 2023).

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About Jessica Tavera NPPES

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

JESSICA TAVERA (NPI 1427364199) is an individual rehabilitation practitioner in Lynwood, California and active in the NPI registry since August 2010. She maintains a secondary practice location in Fullerton.

NPPES Registry Identity

NPI1427364199

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameJESSICA TAVERA

Location Address2594 INDUSTRY WAYLynwood, CA 90262-4015

Mailing Address2594 Industry WayLynwood, CA 90262-4015 · (310) 667-4071

Phone(310) 667-4071

Sole ProprietorYes

Enumeration DateAugust 19, 2010

Last NPPES UpdateMay 21, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1427364199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

2594 INDUSTRY WAY, Lynwood, CA 90262

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Secondary Practice Location 1

Location 1801 E Chapman AveFullerton, CA 92831-3839 · Phone (562) 929-4308

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.

MRS. MAYRA ALEJANDRA CENTENO MFT-I

Marriage & Family Therapist