Joy Afraiem Tawadrous, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

102562 Issued in CA

Practice address

1101 Truman St
San Fernando, CA 91340-3237

Phone

(855) 203-6053

NPI assigned

Jul 7, 2018

Sex

Female

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

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

{
    "created_epoch": "1530921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1669968228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11346 AGNES ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036504",
            "telephone_number": "562-213-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TRUMAN ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913403237",
            "telephone_number": "855-203-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 River Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Norco",
            "state": "CA",
            "postal_code": "928602402",
            "country_code": "US",
            "telephone_number": "562-213-3863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12700 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916055031",
            "country_code": "US",
            "telephone_number": "855-203-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWADROUS",
        "first_name": "JOY",
        "middle_name": "AFRAIEM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "102562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raha Tabankia, L.C.S.W
• Taha Tabassum
• Alejandro Martinez Tamayo, PA-C
• Laura Tapia-Tamayo
• Jocelyn Tapia, AMFT
• Anthony Theodore Taylor, P.A.
• Crystal Taylor, ACSW
• Michael Teichberg
• Jordyn Joy Tenn
• Hazell Tercero-Velasquez

• Orthodontics and Dentofacial Orthopedics Dentistry in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.