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TAVARUA REHABILITATION SERVICES
NPI 1841679131
Clinic/Center - Methadone in Azusa, CA

Active since May 20, 2015
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.

About Tavarua Rehabilitation Services NPPES

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

TAVARUA REHABILITATION SERVICES (NPI 1841679131) is a healthcare organization registered as a methadone in Azusa, California and active in the NPI registry since May 2015. The organization lists Pramesh P Sharma, Administrat Director, as its authorized official.

NPPES Registry Identity

NPI1841679131
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameTAVARUA REHABILITATION SERVICES
Location Address474 S CITRUS AVEAzusa, CA 91702-4733
Mailing Address474 S Citrus AveAzusa, CA 91702-4733 · (626) 858-9500 · Fax (626) 858-9090
Phone(626) 858-9500
Fax(626) 858-9090
Organization SubpartNo
Authorized OfficialPramesh P SharmaAdministrat Director · (661) 313-5503
Enumeration DateMay 20, 2015
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1841679131 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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License RW4776 (CA)
474 S CITRUS AVE, Azusa, CA 91702
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Rehabilitation Services's NPI number?

The NPI number for Tavarua Rehabilitation Services is 1841679131. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Tavarua Rehabilitation Services located?

Tavarua Rehabilitation Services is located at 474 S Citrus Ave, Azusa, CA 91702. The listed phone number is (626) 858-9500.

What is Tavarua 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 Rehabilitation Services was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.