Tayari Lavan Carter, is a
Rehabilitation Practitioner based in Richmond, California. Tayari Lavan Carter is licensed to practice in California (license number ) and his current practice location is
3095 Richmond Pkwy Ste 201, Richmond, California. He can be reached at his office (for appointments etc.) via phone at
(510) 778-2816.
NPI number for Tayari Lavan Carter is 1164094389 and his current mailing address is 1333 Willow Pass Rd Ste 200, Concord, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164094389.
Healthcare Provider's Profile
| Full Name | Tayari Lavan Carter |
|---|
| Gender | Male |
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| Speciality | Rehabilitation Practitioner |
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| Location | 3095 Richmond Pkwy Ste 201, Richmond, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164094389
- Provider Enumeration Date: 07/15/2021
- Last Update Date: 07/29/2025
Medical Identifiers
Medical identifiers for Tayari Lavan Carter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164094389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (California) | Secondary |
| 103TC1900X | Psychologist - Counseling | (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. Tayari Lavan Carter 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 |
|---|
Tayari Lavan Carter,
1333 Willow Pass Rd Ste 200,
Concord, CA 94520-7923
Ph: (925) 338-7928 | Tayari Lavan Carter,
3095 Richmond Pkwy Ste 201,
Richmond, CA 94806-5878
Ph: (510) 778-2816 |
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