CMS-1500 Box 24J / 33a • NPI
1124889019
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
164X00000X
Licensed & Credentialed Licensed Vocational Nurse
Box 32 Service Location & ZIP+4
3317 W BEVERLY BLVD, MONTEBELLO, CA, 90640-1570
✓ 9-Digit EDI 837 ZIP+4 (90640-1570)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1124889019 (TARIQ AFANDI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1124889019 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | TARIQ AFANDI |
| Plain-English Specialty | Licensed & Credentialed Licensed Vocational Nurse NUCC Code: 164X00000X (Licensed Vocational Nurse) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3317 W BEVERLY BLVD, MONTEBELLO, CA, 90640-1570 |
| Practice Telephone / Fax | Tel: (323) 621-6700 |
| Administrative Mailing Address | 12611 ARTESIA BLVD APT 340, CERRITOS, CA, 90703-8694 |
| Enumeration & Last Sync | Enumerated: 2024-01-18 | CMS Record Updated: 2024-01-18 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (164X00000X)
What Does Taxonomy Code 164X00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164X00000X translates to:
"Licensed & Credentialed Licensed Vocational Nurse"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (TARIQ AFANDI)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
164X00000X — Licensed Vocational NursePlain English: Licensed & Credentialed Licensed Vocational Nurse | State: CA | License: 713882 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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