Tyler J Price, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A200779 Issued in CA

Practice address

Box 555657
1St Medical Battalion 1St Marine Logistics Group
Camp Pendleton, CA 92055-5657

Phone

(619) 752-0215

Fax

(510) 721-0968

NPI assigned

Jan 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1013480649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 UTAH ST UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163193",
            "telephone_number": "858-449-2735",
            "fax_number": "619-532-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 555657",
            "address_2": "1ST MEDICAL BATTALION 1ST MARINE LOGISTICS GROUP",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555657",
            "telephone_number": "619-752-0215",
            "fax_number": "510-721-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TYLER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01084739A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "01084739A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A200779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Lee Pittman
• Leonard James Plaitano, D.M.D.
• Sudha M Praba, MD
• Gervin Prado, PT
• Melanie Jean Pribich, MD
• Amy Marie Pritchard, DO
• Kerry Quinn, PT
• Stanley Raczek
• Leeza Rahimi, PHARM.D.
• Nazia Rahman, PH.D.

• Psychiatry Physician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.