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

Larry Deshawn Tanner Jr.

Individual provider Community Health Worker · NPI 1508747528

Larry Deshawn Tanner Jr. is a Community Health Worker in Anderson, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1901 Barney Rd
Anderson, CA 96007-4301
Phone: (916) 642-7800
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1508747528
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

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