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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TAVARUA MEDICAL REHABILITATION SERVICES
NPI 1679848568
Clinic/Center - Methadone in Azusa, CA

Active since March 12, 2012
474 S CITRUS AVE, AZUSA, CA 91702(310) 678-7917 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tavarua Medical Rehabilitation Services NPPES

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

TAVARUA MEDICAL REHABILITATION SERVICES (NPI 1679848568), doing business as Azusa Medical And Mental Health Services, is a healthcare organization registered as a methadone 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

NPI1679848568
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameTAVARUA MEDICAL REHABILITATION SERVICES
Location Address474 S CITRUS AVEAzusa, CA 91702-4733
Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991 · (626) 858-9500 · Fax (626) 858-9090
Phone(310) 678-7917
Organization SubpartNo
Authorized OfficialCynthia Ann BlanksExecutive Director · (661) 254-6630
Enumeration DateMarch 12, 2012
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1679848568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
474 S CITRUS AVE, Azusa, CA 91702
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Other Names 1

Doing Business AsAzusa Medical And Mental Health Services

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))
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
TAVARUA MEDICAL REHABILITATION SERVICES
Clinic/Center (Rehabilitation, Substance Use Disorder)
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
NORA GUZMAN CEPEDA
Counselor (Addiction (Substance Use Disorder))
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
BRENDA DOMINGUEZ
Licensed Vocational Nurse
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
IVELISSE JOURDAIN
Licensed Vocational Nurse
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
JASON HAROLD COX
Rehabilitation Counselor
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
YVETTE GRACE TREJO
Counselor (Addiction (Substance Use Disorder))
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500
DORA SALDANA LPT
Licensed Psychiatric Technician
474 S CITRUS AVE
AZUSA, CA 91702
Los Angeles County (626) 858-9500

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 Tavarua Medical Rehabilitation Services's NPI number?

The NPI number for Tavarua Medical Rehabilitation Services is 1679848568. It was assigned to this organization in the NPPES registry on March 12, 2012. The provider is doing business as Azusa Medical and Mental Health Services.

Where is Tavarua Medical Rehabilitation Services located?

Tavarua Medical Rehabilitation Services is located at 474 S Citrus Ave, Azusa, CA 91702. The listed phone number is (310) 678-7917.

What is Tavarua Medical Rehabilitation Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Tavarua Medical Rehabilitation Services was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.