Active NPI
Daria Tavana
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT300229
- Practice address
- 6080 Center Dr FL 6
Los Angeles, CA 90045-9205 - Phone
- (888) 859-0145
- NPI assigned
- Aug 17, 2017
- Last updated
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01745800 | NJ | |
| Physical Therapist | 225100000X | PT300229 | CA | Primary |
Addresses
Primary practice location
6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Mailing address
PO Box 1295
Venice, CA 90294-1295
Other practice location 1
968 Tabor Rd
Morris Plains, NJ 07950-2734
Phone (973) 829-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10635 Santa Monica Blvd
Suite 165
Los Angeles, CA 90025-8306
Phone (310) 273-0877
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT300229 | CA | MD | Physical Therapist |
| 40QA01745800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adi Rehab, Incorporated | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists, Inc | Physical Therapist | Current | Accepting new patients |
| Kessler Institute for Rehabilitation, Inc. | Past | Accepting new patients |
Locations
5359 Balboa Blvd
Ste A
Encino, CA 91316
Phone (818) 506-7821
2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870
10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1487717153
-
- Physical Therapist
- Los Angeles, CA
- NPI 1104850197
-
- Rehabilitation Hospital
- Marlton, NJ
- NPI 1528512266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1215453501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "VENICE",
"state": "CA",
"postal_code": "902941295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 CENTER DR FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900459205",
"telephone_number": "888-859-0145"
}
],
"practiceLocations": [
{
"address_1": "968 Tabor Rd",
"address_purpose": "LOCATION",
"city": "Morris Plains",
"state": "NJ",
"postal_code": "079502734",
"country_code": "US",
"telephone_number": "973-829-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAVANA",
"first_name": "DARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01745800",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT300229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.