Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Adaljiza Tavera, PMHNP, FNP

Individual provider Family Nurse Practitioner · NPI 1043825193

MS. Adaljiza Tavera, PMHNP, FNP is a Nurse Practitioner in Gardena, California. Qualified in 2020, 6 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (310) 515-8113
Fax: (310) 538-2102
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14541 Delano St, Van Nuys, CA 91411-2820 — (310) 515-8113

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95013634 (CA)

Record details

NPI number1043825193
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP , FNP
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gardena