Provider Demographics
NPI:1730714437
Name:TAPIA, VIOLETA
Entity type:Individual
Prefix:
First Name:VIOLETA
Middle Name:
Last Name:TAPIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11970
Mailing Address - Street 2:
Mailing Address - City:EARLIMART
Mailing Address - State:CA
Mailing Address - Zip Code:93219-1970
Mailing Address - Country:US
Mailing Address - Phone:661-849-3386
Mailing Address - Fax:
Practice Address - Street 1:785 E CENTER AVE
Practice Address - Street 2:
Practice Address - City:EARLIMART
Practice Address - State:CA
Practice Address - Zip Code:93219
Practice Address - Country:US
Practice Address - Phone:661-849-3386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174H00000X
101YM0800X, 171M00000X
CA1-22-61345103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator