Richard Kevin Medford, is a
Day Training/habilitation Specialist based in El Sobrante, California. Richard Kevin Medford is licensed to practice in * (Not Available) (license number ) and his current practice location is
4892 San Pablo Dam Rd, El Sobrante, California. He can be reached at his office (for appointments etc.) via phone at
(510) 222-3946.
NPI number for Richard Kevin Medford is 1700282480 and his current mailing address is 4892 San Pablo Dam Rd, El Sobrante, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700282480.
Healthcare Provider's Profile
| Full Name | Richard Kevin Medford |
|---|
| Gender | Male |
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| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 4892 San Pablo Dam Rd, El Sobrante, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700282480
- Provider Enumeration Date: 11/07/2014
- Last Update Date: 04/23/2025
Medical Identifiers
Medical identifiers for Richard Kevin Medford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700282480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | 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. Richard Kevin Medford 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 |
|---|
Richard Kevin Medford,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: (510) 222-3946 | Richard Kevin Medford,
4892 San Pablo Dam Rd,
El Sobrante, CA 94803-3222
Ph: (510) 222-3946 |
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