Tariq Afandi

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

713882 Issued in CA

Practice address

3317 W Beverly Blvd
Montebello, CA 90640-1570

Phone

(323) 621-6700

NPI assigned

Jan 18, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seramobile Healthcare Clinics LLC

  • Clinic/Center
  • Montebello, CA
  • NPI 1962183251
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1124889019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12611 ARTESIA BLVD APT 340",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038694",
            "telephone_number": "310-956-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401570",
            "telephone_number": "323-621-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFANDI",
        "first_name": "TARIQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "713882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acuprogroup Inc
• Artin Adamian, RPH
• Adeve
• Noushin Adhami, DDS
• Adventist Health Physicians Network
• Carlyn Aguilar, MS-CCC
• April Aguilera
• Lydia Chua Aguilera, M.D.
• Ala Hospice Care, Incorporated
• Abdul M. Alaama, M.D.

• All providers in Montebello, CA
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.