Ms Adaljiza Tavera, PMHNP, FNP in Gardena, CA

Ms Adaljiza Tavera, PMHNP, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gardena, California. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ehab Yacoub Md Inc and her current practice location is 1225 W 190th St Ste 280, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (310) 515-8113.

Ms Adaljiza Tavera is licensed to practice in California (license number NP95013634) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043825193.

Contact Information

	Ms Adaljiza Tavera, PMHNP, FNP
	1225 W 190th St Ste 280, Gardena, CA 90248-4305
	(310) 515-8113
	(310) 538-2102

Map and Direction

Provider's Profile

Full Name	Ms Adaljiza Tavera
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1225 W 190th St Ste 280, Gardena, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Adaljiza Tavera graduated from nursing school in 2020

NPI Data:

NPI Number: 1043825193
Provider Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9537575337
Enrollment ID: I20210302002174

Medical Identifiers

Medical identifiers for Ms Adaljiza Tavera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043825193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95013634 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ehab Yacoub Md Inc	5092099523	83

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Adaljiza Tavera allows following entities to bill medicare on her behalf.

Entity Name	Ehab Yacoub Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417373713 PECOS PAC ID: 5092099523 Enrollment ID: O20170301002071

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Adaljiza Tavera is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Adaljiza Tavera, PMHNP, FNP Po Box 31231, Los Angeles, CA 90031-0231 Ph: (323) 947-4901	Ms Adaljiza Tavera, PMHNP, FNP 1225 W 190th St Ste 280, Gardena, CA 90248-4305 Ph: (310) 515-8113

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

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Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273
Angela Ugochi Otegbulu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13812 Spinning Ave, Gardena, CA 90249 Phone: 310-529-4211
Nnamdi Ferdinand Ofoeze, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102

Ms Adaljiza Tavera, PMHNP, FNP - Medicare Nurse Practitioner in Gardena, CA