Deshay Tywin Peterson, is a
Rehabilitation Practitioner based in Bakersfield, California. Deshay Tywin Peterson is licensed to practice in California (license number ) and her current practice location is
10918 Villa Hermosa Dr, Bakersfield, California. She can be reached at her office (for appointments etc.) via phone at
(661) 654-8559.
NPI number for Deshay Tywin Peterson is 1821726746 and her current mailing address is 7849 Oceanus Dr, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821726746.
Healthcare Provider's Profile
| Full Name | Deshay Tywin Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 10918 Villa Hermosa Dr, Bakersfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821726746
- Provider Enumeration Date: 08/09/2022
- Last Update Date: 04/28/2025
Medical Identifiers
Medical identifiers for Deshay Tywin Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821726746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deshay Tywin Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deshay Tywin Peterson,
7849 Oceanus Dr,
Los Angeles, CA 90046-2042
Ph: (310) 909-3817 | Deshay Tywin Peterson,
10918 Villa Hermosa Dr,
Bakersfield, CA 93311-9373
Ph: (661) 654-8559 |
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