Terrek Humphreys, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Terrek Humphreys is licensed to practice in California (license number 74833) and his current practice location is
2275 Arlington Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 317-1444.
NPI number for Terrek Humphreys is 1912033283 and his current mailing address is 2275 Arlington Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912033283.
Healthcare Provider's Profile
Full Name | Terrek Humphreys |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2275 Arlington Dr, San Leandro, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912033283
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 01/11/2017
Medical Identifiers
Medical identifiers for Terrek Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912033283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 74833 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 74833 (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. Terrek Humphreys 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 |
Terrek Humphreys, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444 | Terrek Humphreys, 2275 Arlington Dr, San Leandro, CA 94578-1132 Ph: (510) 317-1444 |
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