Organization
TAVARUA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN BLANKS (C E O)
(661) 254-6630
Entity
Organization
Contact information
Practice address
8207 WHITTIER BLVD, PICO RIVERA, CA 90660-2521
(562) 695-0737
(562) 695-0413
Mailing address
26460 SUMMIT CIR, SANTA CLARITA, CA 91350-2991
(661) 254-6630
(661) 254-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
19-107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19-107
—
CA
01
—
6984
ADPA
CA
Enumeration date
05/14/2007
Last updated
10/31/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up