TYREE PETTWAY
NPI 1154952463
Community Health Worker in Los Angeles, CA
About Tyree Pettway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYREE PETTWAY (NPI 1154952463) is an individual community health worker in Los Angeles, California and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses 3
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyree Pettway's NPI number?
The NPI number for Tyree Pettway is 1154952463. It was assigned to this individual provider in the NPPES registry on January 27, 2020.
Where is Tyree Pettway located?
Tyree Pettway practices at 3850 Crenshaw Blvd, Los Angeles, CA 90008. The listed phone number is (323) 593-5300.
What is Tyree Pettway's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Tyree Pettway was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.