Tavarua Health Services

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

TAVARUA HEALTH SERVICES

Practice address

8207 Whittier Blvd
Pico Rivera, CA 90660-2521

Phone

(562) 695-0737

Fax

(562) 695-0413

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Ann Blanks

Title

C E O

Phone

(661) 254-6630

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Tavarua Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tavarua Rehabilitation Services

  • Methadone Clinic
  • Azusa, CA
  • NPI 1841679131
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• American Health Services LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hawaiian Gardens, CA
  • NPI 1861562068

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Kambiz Gheysar, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Laguna Hills, CA
  • NPI 1609992171
  NPD
• Michael Yadegari, M.D

  • Gastroenterology Physician
  • Van Nuys, CA
  • NPI 1023293016
  NPD
• Henry Kenneth Fisher, M.D.

  • Pulmonary Disease Physician
  • Casper, WY
  • NPI 1063517506
  NPD

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1235344086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 WHITTIER BLVD",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602521",
            "telephone_number": "562-695-0737",
            "fax_number": "562-695-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVARUA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "19-107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADPA",
            "identifier": "6984",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-107",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Starr-Levitt, LVN
• Sayeeda Sultana, MD
• Sundaram Family Medical Clinic Inc.
• Sylvia Arcos, OD a Professional Corp.
• Kristen Tarsala
• Tavarua Medical Rehabilitation Services
• Tech Plus Med Solutions Corporation
• Tech Plus Med Solutions Corporation
• Marcelo Tejada
• Telegraph Dermatology Medical Group Inc

• Methadone Clinic in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Methadone Clinic in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.

Verify at the official NPI Registry.