TANYA BERRY R1516360723 NPI 1508642315

NPI Information

  • NPI: 1508642315
  • Provider Name: TANYA BERRY, R1516360723
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • Address: 1224 VINE ST
    LOS ANGELES, CA
    ZIP 90038
  • Phone: (323) 769-6100

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NPI Details

Tanya Berry, R1516360723 is a rehabilitation practitioner in Los Angeles, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Tanya Berry, R1516360723 NPI is 1508642315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1224 VINE ST
LOS ANGELES, CA
ZIP 90038-612
Phone: (323) 769-6100

The enumeration date for this NPI number is 9/6/2023 and was last updated on 6/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2225400000XRehabilitation Practitioner1516360723CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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