Active NPI
Ana Lesly Tavira-Nava
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1366093668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 12021 S. Wilmington Ave.
BLDG #18 Suite 101
Los Angeles, CA 90059 - Phone
- (424) 454-6001
- Fax
- (323) 722-4450
- NPI assigned
- Sep 27, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
12021 S. Wilmington Ave.
BLDG #18 Suite 101
Los Angeles, CA 90059
Mailing address
4139 Paramount Blvd
Space 19
Pico Rivera, CA 90660
Phone (323) 722-4529
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1366093668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4139 PARAMOUNT BLVD",
"address_2": "SPACE 19",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "90660",
"telephone_number": "323-722-4529",
"fax_number": "323-722-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 S. WILMINGTON AVE.",
"address_2": "BLDG #18 SUITE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90059",
"telephone_number": "424-454-6001",
"fax_number": "323-722-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVIRA-NAVA",
"first_name": "ANA",
"middle_name": "LESLY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"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 Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.