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

Serge Tabaro

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1679437826

Serge Tabaro is a Mental Illness Community Based Residential Treatment Facility in San Tan Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

3593 W Goldmine Mountain Dr
San Tan Valley, AZ 85144-6592
Phone: (480) 828-0578
Show map & directions

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

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X (AZ)

Record details

NPI number1679437826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 11, 2025

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