Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlton Tyrell Richard, CHW

Individual provider Community Health Worker · NPI 1396675963

Carlton Tyrell Richard, CHW is a Community Health Worker in San Diego, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4660 El Cajon Blvd Ste 203
San Diego, CA 92115-4468
Phone: (619) 884-0232
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1396675963
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW
Sole proprietorNo
NPI enumeratedMay 22, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026

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