SERGE TABARO
NPI 1679437826
Community Based Residential Treatment Facility, Mental Illness in San Tan Valley, AZ

Active since December 12, 2025
3593 W GOLDMINE MOUNTAIN DR, SAN TAN VALLEY, AZ 85144(480) 828-0578 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Serge Tabaro NPPES

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

SERGE TABARO (NPI 1679437826) is an individual community based residential treatment facility, mental illness provider in San Tan Valley, Arizona and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1679437826
Entity TypeIndividualMale
Primary Taxonomy320800000X
Provider Legal NameSERGE TABARO
Location Address3593 W GOLDMINE MOUNTAIN DRSan Tan Valley, AZ 85144-6592
Mailing Address3593 W Goldmine Mountain DrSan Tan Valley, AZ 85144-6592 · (480) 828-0578
Sole ProprietorYes
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 11, 2025
NPI 1679437826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
3593 W GOLDMINE MOUNTAIN DR, San Tan Valley, AZ 85144

Other Providers at the Same Location NPPES

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

In Home Supportive Care
3593 W GOLDMINE MOUNTAIN DR
SAN TAN VALLEY, AZ 85144

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 Serge Tabaro's NPI number?

The NPI number for Serge Tabaro is 1679437826. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Serge Tabaro located?

Serge Tabaro practices at 3593 W Goldmine Mountain Dr, San Tan Valley, AZ 85144. The listed phone number is (480) 828-0578.

What is Serge Tabaro's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Serge Tabaro was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.