Tacayla Renee Thomas, is a
Day Training/habilitation Specialist based in Stockton, California. Tacayla Renee Thomas is licensed to practice in * (Not Available) (license number ) and her current practice location is
1212 N California St, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-8686.
NPI number for Tacayla Renee Thomas is 1720647613 and her current mailing address is 1212 N California St, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720647613.
Healthcare Provider's Profile
| Full Name | Tacayla Renee Thomas |
|---|
| Gender | Female |
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| Speciality | Day Training/habilitation Specialist |
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| Location | 1212 N California St, Stockton, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720647613
- Provider Enumeration Date: 06/13/2019
- Last Update Date: 03/24/2025
Medical Identifiers
Medical identifiers for Tacayla Renee Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720647613 | 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. Tacayla Renee Thomas 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 |
|---|
Tacayla Renee Thomas,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 468-8686 | Tacayla Renee Thomas,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 468-8686 |
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