Tavarua Medical Rehabilitation Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

960000644 Issued in CA

Legal business name

TAVARUA MEDICAL REHABILITATION SERVICES

Doing business as

Tavarua Medical & Mental Services

Practice address

8207 Whittier Blvd
Pico Rivera, CA 90660-2521

Phone

(562) 692-2522

Fax

(562) 695-0413

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Sean Ramanand Sharma

Title

Executive Director

Phone

(661) 254-6630

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• TAVARUA MEDICAL & MENTAL SERVICES Doing business as

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1427127174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801809",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913801809",
            "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": "562-692-2522",
            "fax_number": "562-695-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAVARUA MEDICAL REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "RAMANAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "960000644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EAP70445F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6984",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70018F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70445",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAVARUA MEDICAL & MENTAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sayeeda Sultana, MD
• Sundaram Family Medical Clinic Inc. (Sundaram Family Medical Clinic)
• Sylvia Arcos, OD a Professional Corp.
• Kristen Tarsala
• Tavarua Health Services
• Tech Plus Med Solutions Corporation (Pico Care Pharmacy)
• Tech Plus Med Solutions Corporation (Pico Care Pharmacy)
• Marcelo Tejada
• Telegraph Dermatology Medical Group Inc
• Telegraph Medical Group, LLC

• Primary Care Clinic/Center in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.