Doctor profile · Federal record
Dr. Marielle Tavares
Family Nurse Practitioner · Los Angeles, CA
- NPI 1376282475
- 4 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
808 W 58Th St
Los Angeles, CA 900373632
(310) 948-6356 - Mailing address
-
5743 Ventura Canyon Ave
Valley Glen, CA 914014533
Credentials & registration
- NPI registered
- May 2022 — 4 yrs on file
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- California #95020541
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376282475. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$32
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dexcom, INC. | 1 | $31.57 |
By nature of payment
Frequently asked questions
What is Dr. Marielle Tavares's medical specialty?
Dr. Marielle Tavares practices Family Nurse Practitioner in Los Angeles, CA.
Where does Dr. Marielle Tavares practice?
Dr. Marielle Tavares practices at 808 W 58Th St, Los Angeles, CA 900373632. Office phone: 3109486356.
What is Dr. Marielle Tavares's NPI?
Dr. Marielle Tavares's National Provider Identifier (NPI) is 1376282475, issued by NPPES.