Search › California › 172V00000X
Madison Tavis
NPI 1932013588 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1221 W 3rd St
Los Angeles, CA 90017 - Phone
- (818) 470-4584
- Organisation at this address
- St Vincent Preventative Family Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California