Madison Leeanne Tavis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1221 W 3Rd St
Los Angeles, CA 90017-5181

Phone

(818) 470-4584

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1932013588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 15TH INFANTRY AVE",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939558309",
            "telephone_number": "831-718-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900175181",
            "telephone_number": "818-470-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVIS",
        "first_name": "MADISON",
        "middle_name": "LEEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaghayegh Tavassoli, D.O.
• Michael Lewis Tave, H.S.
• Natasha Monique Tave
• Sabrina Tavera
• Ana Lesly Tavira-Nava
• Faraz Tavoossi, DDS
• Lawrence Taw, MD
• Malcolm Beng-Tee Taw, MD
• Sachiko Tawa
• Khaled Aly Tawansy, M.D.

• Community Health Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.