Carey Ferdinand Lashley Jr., APCC #8722

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

8722 Issued in CA

Practice address

2495 W March LN
Stockton, CA 95207-8251

Phone

(209) 465-1080

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1710113097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 14TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072247",
            "telephone_number": "510-273-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078251",
            "telephone_number": "209-465-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4368 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946022529",
            "country_code": "US",
            "telephone_number": "510-531-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASHLEY",
        "first_name": "CAREY",
        "middle_name": "FERDINAND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APCC #8722",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "8722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Gabrielle Larson
• Lora M Larson, ASW
• Tracy Ann Larson
• Luke Aaron Larue
• Lorlei Solomon Lasala
• Carolina Lastra
• Karressa Lastra
• Kusum Lata, M.D
• Jasmin Latimer
• Melissa Elizabeth Latta, DPT

• Student in an Organized Health Care Education/Training Program in Stockton, CA
• Providers in Stockton, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.