Individual provider Active NPI

Cindy Tafoya, PSY.D.

  • Clinical Psychologist
  • Commerce, CA
National Provider Identifier
1699059386
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27970 Issued in CA
Practice address
5800 S Eastern Ave Ste 500
Commerce, CA 90040-4033
Phone
(323) 308-9397
Fax
(323) 406-2237
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27970 CA Primary

Addresses

Primary practice location

5800 S Eastern Ave Ste 500
Commerce, CA 90040-4033

Mailing address

5800 S Eastern Ave Ste 500
Commerce, CA 90040-4033
Phone (323) 308-9397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504001783 CA Practitioner - Clinical Psychologist 8123382843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunshine Mental Health Clinic IncGroup PAC ID 2365830023, 2 clinicians

Practice addresses (Care Compare)

5800 S Eastern Ave
Suite 500
Commerce, CA 90040-4033
Phone (323) 308-9397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27970CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Mission City Community Network, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Sunshine Mental Health Clinic Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Celebrating Life Community Health Center Current Accepting new patients

Locations

5800 S Eastern Ave
Ste 500
Commerce, CA 90040
Phone (323) 308-9397

15206 Parthenia St
Sepulveda, CA 91343

Interoperability endpoints

  • Direct secure messaging: cindytafoya@clchc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1699059386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 S EASTERN AVE STE 500",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404033",
            "telephone_number": "323-308-9397",
            "fax_number": "323-406-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 S EASTERN AVE STE 500",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900404033",
            "telephone_number": "323-308-9397",
            "fax_number": "323-406-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFOYA",
        "first_name": "CINDY",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.